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NPI 1285074047
● Active Type 2 · Organization
Evergreen Neurosurgery Center, Pllc
Specialist · Shenandoah, TX · NPI 1285074047
·
Enumerated 2013 · 12 years on NPI
Evergreen Neurosurgery Center, Pllc is 1 of 4038 specialist organizations in Texas.
NPI age
12 years
Enumerated 2013-06-26
Primary specialty
Specialist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Sebastian
Owner
Last NPPES update
2021-06-10
Source: monthly bulk 2026-05
How this organization compares
Across 4038 active specialist providers in Texas.
NPI age
12 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2013 → 2026
2013-06 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
111 Vision Park Blvd Ste 260
Shenandoah, TX 77384
📞 2817199681 fax 2817910059
Mailing address
Po Box 130070
Spring, TX 773930070
📞 2817199681 fax 2817910059
Additional practice locations
1 secondary location on file with NPPES.
Location 2
500 Medical Center Blvd Ste 335
Conroe, TX 773042960
📞 2817199681 fax 8778053509
Authorized official
Cyril T Sebastian, MD
Owner
📞 2817199681
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Specialist
Primary
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #N6643 taxonomy 174400000X
Identifiers
Type Value Notes
01 (TX)
N6643
LICENSE
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.