SPINE INSTITUTE OF TEXAS, PLLC (NPI# 1609202704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609202704 |
| Entity Type | Organization |
| Organization Name | SPINE INSTITUTE OF TEXAS, PLLC |
| Practice Address |
11970 N Central Expy Suite 450 Dallas TX 75243-3768 |
| Practice Telephone | 9724994280 |
| Practice Fax Number | 2142428980 |
| Mailing Telephone | 9724994280 |
| Mailing Fax Number | 2142428980 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | DR. WILLIAM BANISTER (PARTNER) |
| Authorized Official Telephone | 9724994280 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J1856 | TX | Other Service Providers |
| Street Address |
11970 N CENTRAL EXPY SUITE 450 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963808 | J Robert Wyatt | Specialist | 11970 N Central Expy, Suite 400, Dallas, TX 75243-3768 | 2005-09-22 |
| 1215497961 | Annalisa Tuyet Bui Creech | Nurse Practitioner | 11970 N Central Expy, Dallas, TX 75243-3768 | 2019-03-20 |
| 1235688102 | C M First Assisting, Inc. | Physician Assistant | 11970 N Central Expy, Suite 500, Dallas, TX 75243-3768 | 2016-10-03 |
| 1265986442 | J Alexander Md Pa | Nurse Anesthetist, Certified Registered | 11970 N Central Expy, Ste 600, Dallas, TX 75243-3768 | 2016-08-05 |
| 1093161333 | Excel Neuro-diagnostics LLC | Specialist/Technologist, Other | 11970 N Central Expy, Dallas, TX 75243-3768 | 2016-05-05 |
| 1518344142 | Icon Professional Services, Inc. | Clinic/Center | 11970 N Central Expy, Suite 500, Dallas, TX 75243-3768 | 2015-05-04 |
| 1639574403 | Endocrinology and Diabetes Specialist Pa | Clinic/Center | 11970 N Central Expy, Suite 630, Dallas, TX 75243-3768 | 2014-10-23 |
| 1710321146 | Rem Sleep Diagnostics Frisco LLC | Clinic/Center | 11970 N Central Expy, Ste. 640, Dallas, TX 75243-3768 | 2013-04-29 |
| 1730523168 | Sleep Remedies Frisco LLC | Clinic/Center | 11970 N Central Expy, Ste. 640, Dallas, TX 75243-3768 | 2013-04-29 |
| 1326482753 | Somny Tech Sleep Services Frisco LLC | Durable Medical Equipment & Medical Supplies | 11970 N Central Expy, Ste. 640b, Dallas, TX 75243-3768 | 2013-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172827 | Tina Mone Patterson | Specialist | 8501 Old Hickory Trl Apt 2106, Dallas, TX 75237-3821 | 2019-12-31 |
| 1225670862 | Camerin J Cole | Specialist | 4701 Haverwood Ln Apt 112, Dallas, TX 75287-4206 | 2019-10-15 |
| 1356833198 | Diana Denise Demasi | Specialist | 4411 Lemmon Ave Ste 102, Dallas, TX 75219-2390 | 2018-06-06 |
| 1942718242 | Kristy Prieto | Specialist | 18809 Lina St Apt 10209, Dallas, TX 75287-2519 | 2018-01-21 |
| 1306354600 | Johnneshia Donald | Specialist | 3702 Frankford Rd Apt 12303, Dallas, TX 75287-7808 | 2018-01-21 |
| 1841740404 | Surgical Associates of Dallas | Specialist | 621 N Hall St Ste 520, Dallas, TX 75226-1315 | 2016-10-07 |
| 1194198101 | Surepoint Emergency Physicians Denton, Pllc | Specialist | 5005 Lbj Fwy, Suite 1200, Dallas, TX 75244 | 2015-11-12 |
| 1316329071 | Southern Spine Institute Pllc | Specialist | 11970 N Central Expy Ste 450, Dallas, TX 75243-3787 | 2015-06-18 |
| 1760886345 | Wls Surgical Associates of North Texas Pllc | Specialist | 7777 Forest Ln Ste C400, Dallas, TX 75230-7516 | 2014-10-10 |
| 1952731804 | Aw Sleep Diagnostic Center Inc | Specialist | 13154 Coit Road, Suite 105, Dallas, TX 75240-5787 | 2013-11-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.