Axis Brain And Back Institute Pllc

Neurological Surgery



  
  1110 E State Highway 114 Ste 100, Southlake
Texas, 76092-5251

 817-502-7411    817-502-7412
Axis Brain And Back Institute Pllc is a Neurological Surgery in Southlake, Texas. It is located at 1110 E State Highway 114 Ste 100, Southlake and it's customer support contact number is 817-502-7411. The authorized person of Axis Brain And Back Institute Pllc is Dr. Saeid Esmaeily Aryan, DO who is Owner/president of this DME and his contact number is 817-502-7411. Active license number of Axis Brain And Back Institute Pllc is P9148 for Neurological Surgery in Texas. Axis Brain And Back Institute Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Axis Brain And Back Institute Pllc is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.


DME Supplier Details:
Axis Brain And Back Institute Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Axis Brain And Back Institute Pllc
Type: Neurological Surgery
Location:1110 E State Highway 114 Ste 100, Southlake,
Texas, 76092-5251
Phone:817-502-7411
Fax:817-502-7412
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Dr. Saeid Esmaeily Aryan
Credentials: DO
Position: Owner/president
Contact Number: 817-502-7411
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1689085193
NPI Enumeration Date: 19 May, 2014
NPI Last Update On: 28 Aug, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Axis Brain And Back Institute Pllc are as mentioned below.
SpecializationLicense NumberStateStatus
Neurological Surgery P9148TexasPrimary
Pain Medicine Secondary
Physical Therapist Secondary
Durable Medical Equipment & Medical Supplies Secondary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00E4E2OtherTexasBcbs
7273750001OtherMedicare Nsc
Medicare Enrollment:
Axis Brain And Back Institute Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
0042432015O20141106000405Axis Brain And Back Institute PllcPART B SUPPLIER - CLINIC/GROUP PRACTICE
0042432015O20150218001063Axis Brain And Back Institute PllcDME SUPPLIER - PHYSICIAN - NEUROSURGERY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1110 E State Highway 114 Ste 100,
Southlake, Texas
Zip: 76092-5251
Phone Number: 817-502-7411
Fax Number: 817-502-7412
Patients can reach Axis Brain And Back Institute Pllc at 1110 E State Highway 114 Ste 100, Southlake, Texas or can call on customer care at 817-502-7411.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.