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NEUROSURGICAL AND SPINE CONSULTANTS, PA
NPI 1164547733
Specialist in Fort Worth, TX

Active since March 20, 2007
1001 12TH AVE STE 171, FORT WORTH, TX 76104(817) 576-6500(682) 703-2064 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Jan 2, 2019 (2 updates tracked since 2019).

About Neurosurgical And Spine Consultants, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROSURGICAL AND SPINE CONSULTANTS, PA (NPI 1164547733), doing business as Neurosurgical & Spine Consultants, Pa, is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Fort Worth and lists Cristyl Chance, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1164547733
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEUROSURGICAL AND SPINE CONSULTANTS, PA
Location Address1001 12TH AVE STE 171Fort Worth, TX 76104-3926
Mailing Address1001 12th Ave Ste 171Fort Worth, TX 76104-3926 · (817) 576-6500 · Fax (682) 703-2064
Phone(817) 576-6500
Fax(682) 703-2064
Organization SubpartNo
Authorized OfficialCristyl ChancePractice Manager · (817) 715-0409
Enumeration DateMarch 20, 2007
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1164547733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
1001 12TH AVE STE 171, Fort Worth, TX 76104
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Other Names 1

Doing Business AsNeurosurgical & Spine Consultants, Pa

Secondary Practice Location 1

Location 11325 Pennsylvania Ave Ste 440Fort Worth, TX 76104-2128 · Phone (817) 878-5491 · Fax (817) 878-5492

Other Identifiers 1

Medicaid129595806TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA DEBEVEC PA
Physician Assistant (Surgical)
1001 12TH AVE STE 171
FORT WORTH, TX 76104
Tarrant County (817) 576-6500
DR. DIANA ELIZABETH WILSON M.D.
Neurological Surgery
1001 12TH AVE STE 171
FORT WORTH, TX 76104
Tarrant County (817) 576-6500
KAYLA MILTON NP
Nurse Practitioner (Family)
1001 12TH AVE STE 171
FORT WORTH, TX 76104
Tarrant County (817) 576-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurosurgical And Spine Consultants, PA's NPI number?

The NPI number for Neurosurgical And Spine Consultants, PA is 1164547733. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Neurosurgical & Spine Consultants, PA.

Where is Neurosurgical And Spine Consultants, PA located?

Neurosurgical And Spine Consultants, PA is located at 1001 12th Ave Ste 171, Fort Worth, TX 76104. The listed phone number is (817) 576-6500.

What is Neurosurgical And Spine Consultants, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Neurosurgical And Spine Consultants, PA was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.