Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Neurosurgical and Spine Consultants, PA

Organization Specialist · NPI 1558754705

Neurosurgical and Spine Consultants, PA provides Specialist services in Ft Worth, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 12th Ave Ste 170
Ft Worth, TX 76104-3926
Phone: (214) 373-3183
Fax: (214) 361-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence J0729 (TX)

Record details

NPI number1558754705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Wilson — Owner/Physcian · (817) 576-6500
NPI enumeratedMarch 12, 2015
Last updated in NPPESJanuary 2, 2019
Mailing address1001 12th Ave Ste 171, Fort Worth, TX 76104-3926

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