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

Nacogdoches Spine PLLC

Organization Neurological Surgery Physician · NPI 1174891105

Nacogdoches Spine PLLC is a Neurological Surgery Physician in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
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

625 Russell Blvd
Nacogdoches, TX 75965-1247
Phone: (936) 560-1190
Fax: (936) 560-1823
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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 · Licence N2561 (TX)

Record details

NPI number1174891105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neal Haynes — Owner · (936) 560-1190
NPI enumeratedDecember 5, 2011
Last updated in NPPESFebruary 8, 2012
Mailing address625 Russell Blvd, Nacogdoches, TX 75965-1247

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