| Texas Back Institute | |
|
6020 W Parker Rd Ste 200 Plano TX 75093-8172 | |
| (972) 608-5000 | |
| (972) 608-5020 |
| Full Name | Texas Back Institute |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 6020 W Parker Rd Ste 200, Plano, Texas |
| Authorized Official Name and Position | Trish Bowling (CFO) |
| Authorized Official Contact | 9726085110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Back Institute Po Box 262409 Plano TX 75026-2409 Ph: (972) 608-5000 | Texas Back Institute 6020 W Parker Rd Ste 200 Plano TX 75093-8172 Ph: (972) 608-5000 |
| NPI Number | 1841220837 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/18/2013 |
| Medicare PECOS PAC ID | 7517865876 |
|---|---|
| Medicare Enrollment ID | O20031223000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841220837 | NPI | - | NPPES |
| 1361396-07 | Medicaid | TX | |
| 1361396-05 | Medicaid | TX | |
| 1361396-04 | Medicaid | TX |
| Provider Name | James D Cable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659310548 PECOS PAC ID: 8820070923 Enrollment ID: I20040602001586 |
| Provider Name | Nayan Raman Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114957768 PECOS PAC ID: 8527027812 Enrollment ID: I20041004000188 |
| Provider Name | Andrew Robert Block |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134168198 PECOS PAC ID: 1153344536 Enrollment ID: I20060111001119 |
| Provider Name | Craig B Lankford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861439283 PECOS PAC ID: 4486651080 Enrollment ID: I20061024000354 |
| Provider Name | Rajesh G Arakal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124197827 PECOS PAC ID: 5395779896 Enrollment ID: I20071108000524 |
| Provider Name | Michael F Duffy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497878060 PECOS PAC ID: 0749344612 Enrollment ID: I20090122000174 |
| Provider Name | Jessica L Shellock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700975398 PECOS PAC ID: 8628132412 Enrollment ID: I20090122000389 |
| Provider Name | Craig C Callewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487611620 PECOS PAC ID: 4284529421 Enrollment ID: I20090316000426 |
| Provider Name | Scott L Blumenthal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912946831 PECOS PAC ID: 0042315392 Enrollment ID: I20090827000249 |
| Provider Name | Michael S Hisey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346283348 PECOS PAC ID: 9931148277 Enrollment ID: I20090917000060 |
| Provider Name | Renato V Bosita |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184663163 PECOS PAC ID: 4789623158 Enrollment ID: I20100617000808 |
| Provider Name | Stephen H Hochschuler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124065941 PECOS PAC ID: 5991747016 Enrollment ID: I20100617000815 |
| Provider Name | Ralph Franklin Rashbaum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871520593 PECOS PAC ID: 6800835133 Enrollment ID: I20100621000239 |
| Provider Name | Cezar D Sandu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699932210 PECOS PAC ID: 1052503075 Enrollment ID: I20101008000971 |
| Provider Name | Theodore A Belanger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700869997 PECOS PAC ID: 6709860174 Enrollment ID: I20110328000845 |
| Provider Name | Eric Isaac Ray |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598965428 PECOS PAC ID: 2365625191 Enrollment ID: I20110331000483 |
| Provider Name | Effat Jehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801080130 PECOS PAC ID: 6608949706 Enrollment ID: I20111024000689 |
| Provider Name | Stephen R Tolhurst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023234655 PECOS PAC ID: 4486824745 Enrollment ID: I20120830000339 |
| Provider Name | Scott Christopher Kutz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023081254 PECOS PAC ID: 2567487010 Enrollment ID: I20160523001057 |
| Provider Name | Kevin Lee Ju |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205157443 PECOS PAC ID: 5395903579 Enrollment ID: I20160830003119 |
| Provider Name | Akwasi Ofori Boah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184884900 PECOS PAC ID: 2466766761 Enrollment ID: I20160930001525 |
| Provider Name | Jaime Villarreal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427316132 PECOS PAC ID: 9739459645 Enrollment ID: I20170726001938 |
| Provider Name | Joseph Tyler Cox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609163682 PECOS PAC ID: 5193953859 Enrollment ID: I20170726003093 |
| Provider Name | Brian James Gengler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154684645 PECOS PAC ID: 9335410182 Enrollment ID: I20170812000076 |
| Provider Name | Blake Nolan Staub |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851525943 PECOS PAC ID: 5092000869 Enrollment ID: I20170906001294 |
| Provider Name | Sheena Bhuva |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073945648 PECOS PAC ID: 2860616497 Enrollment ID: I20180517002011 |
| Provider Name | Thomas Kosztowski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003041336 PECOS PAC ID: 9931358173 Enrollment ID: I20180523003102 |
| Provider Name | John Robert Balk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215371562 PECOS PAC ID: 2062712516 Enrollment ID: I20180726000911 |
| Provider Name | Peter Brett Derman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942567961 PECOS PAC ID: 7214229640 Enrollment ID: I20180827001924 |
| Provider Name | Mark Makumbi Kayanja |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487823639 PECOS PAC ID: 3577736214 Enrollment ID: I20180920002289 |
| Provider Name | Alexander Matthew Satin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942628227 PECOS PAC ID: 4385970110 Enrollment ID: I20190731002077 |
| Provider Name | Antonio J Webb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003226440 PECOS PAC ID: 9739415480 Enrollment ID: I20190801002789 |
| Provider Name | John Burleson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255779948 PECOS PAC ID: 1052619590 Enrollment ID: I20190801002963 |
| Provider Name | Abhiram V Gande |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730508979 PECOS PAC ID: 2961700323 Enrollment ID: I20190802001994 |
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