Provider Demographics
NPI:1861609018
Name:NEUROLOGIC & SPINE INSTITUTE
Entity type:Organization
Organization Name:NEUROLOGIC & SPINE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-893-5177
Mailing Address - Street 1:PO BOX 2432
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-2432
Mailing Address - Country:US
Mailing Address - Phone:903-893-5177
Mailing Address - Fax:
Practice Address - Street 1:600 E TAYLOR
Practice Address - Street 2:SUITE 3008
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-893-5177
Practice Address - Fax:903-813-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C45SOtherBCBS
LA00G62POtherBCBS
TXCS0520OtherRR MEDICARE
TX082706502Medicaid
TXCS0520OtherRR MEDICARE