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 an authorized DME supplier for medicare equipment and products.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.
| Specialization | License Number | State | Status | |
| Neurological Surgery | P9148 | Texas | Primary | |
| 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.
| Identifier | Type | State | Issuer |
| 00E4E2 | Other | Texas | Bcbs |
| 7273750001 | Other | | Medicare 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 Name | Medicare Entity Type |
| 0042432015 | O20141106000405 | Axis Brain And Back Institute Pllc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 0042432015 | O20150218001063 | Axis Brain And Back Institute Pllc | DME 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.