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

Neurosurgical and Spine Consultants, PA

Organization Specialist · NPI 1558754705

Neurosurgical and Spine Consultants, PA is a Specialist 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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