Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longhorn Brain and Spine PLLC

Organization Neurological Surgery Physician · NPI 1053996447

Longhorn Brain and Spine PLLC provides Neurological Surgery Physician services in Fort Worth, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 12th Ave Ste 168
Fort Worth, TX 76104-3947
Phone: (682) 337-7463
Fax: (682) 337-7464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1053996447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Booher — President · (682) 337-7463
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing addressPo Box 185, Fort Worth, TX 76101-0185

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