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 is a Neurological Surgery Physician 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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