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Contact Information

AXIS BRAIN AND BACK INSTITUTE PLLC
1110 E STATE HIGHWAY 114 STE 100
SOUTHLAKE, TX76092-5251
 Phone: 817-502-7411
 Fax: 817-502-7412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AXIS BRAIN AND BACK INSTITUTE PLLC

NPI # 1689085193
LBN Legal business name AXIS BRAIN AND BACK INSTITUTE PLLC
Authorized official SAEID ARYAN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2014
Last updated 08/28/2025 - About 9 months ago
Identifiers
TX License # P9148
Other 7273750001 MEDICARE NSC
TX Other 00E4E2 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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