Nacogdoches Spine PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

N2561 Issued in TX

Legal business name

NACOGDOCHES SPINE PLLC

Practice address

625 Russell Blvd
Nacogdoches, TX 75965-1247

Phone

(936) 560-1190

Fax

(936) 560-1823

NPI assigned

Dec 5, 2011

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Neal Gregory Haynes, MDNPI 1245454651

Title

Owner

Phone

(936) 560-1190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neal Gregory Haynes, M.D.

  • Neurological Surgery Physician
  • Nacogdoches, TX
  • NPI 1245454651
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1174891105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-560-1190",
            "fax_number": "936-560-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-560-1190",
            "fax_number": "936-560-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nacogdoches Physical Therapy LLC (Nacogdoches Physical Exellence Center)
• Nacogdoches Podiatry PLLC
• Nacogdoches Pulmonary and Sleep Associates PA
• Nacogdoches Radiology Associates
• Nacogdoches Rehabilitation Group, Inc
• Nacogdoches Wellness
• Nacogdoches Wellness PLLC
• Nacogdoches Women's Services, PLLC
• Nacogdoches Womens Center, PLLC
• Robert Naquin, PA-C

• Neurological Surgery Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.