Provider Demographics
NPI:1730633249
Name:NECK DISC REPLACEMENT, PLLC
Entity type:Organization
Organization Name:NECK DISC REPLACEMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON
Authorized Official - Prefix:
Authorized Official - First Name:BARAA
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-HAFEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-515-9814
Mailing Address - Street 1:PO BOX 19437
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77224-9437
Mailing Address - Country:US
Mailing Address - Phone:281-529-6626
Mailing Address - Fax:832-288-5967
Practice Address - Street 1:2222 GREENHOUSE RD STE 1100A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084
Practice Address - Country:US
Practice Address - Phone:913-515-9814
Practice Address - Fax:832-288-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2018-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6764207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty