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1053996447
LONGHORN BRAIN AND SPINE PLLC
FORT WORTH, TX
NPI
1053996447
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Entity Type
Organization
Authorized Contact
GRANT ALLEN BOOHER
President
682-337-7463
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
Enumeration Date
2021-03-16
Last Update Date
2021-03-17
Business Address
LONGHORN BRAIN AND SPINE PLLC
1001 12TH AVE STE 168
FORT WORTH, TX 76104-3947
Phone number: 682-337-7463
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Mailing Address
LONGHORN BRAIN AND SPINE PLLC
PO BOX 185
FORT WORTH, TX 76101-0185
Phone number: 682-337-7463
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