institution
Advanced Spine Solutions Pa
Clinic/Center in Southlake, Texas
NPI 1235308578

Advanced Spine Solutions Pa is a Clinic/Center based in Southlake, TX. Advanced Spine Solutions Pa practices in Southlake, TX. The NPI Number for Advanced Spine Solutions Pa is 1235308578 and holds a License No. M4201 (Texas).

The current practice location address for Advanced Spine Solutions Pa is 261 W Southlake Blvd, Southlake, TX and can be reached out via phone at 817-310-8783 and via fax at 855-640-3872.

Location: 261 W Southlake Blvd, Southlake, TX, 76092-6829
institution
Provider Profile Details
NPI Number
1235308578
Provider Name
Advanced Spine Solutions Pa
Credential
Provider Entity Type
Organization
Address
261 W Southlake Blvd, Southlake, TX, 76092-6829
Phone Number
817-310-8783
Fax Number
855-640-3872
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
194675801 05 TX
0059QH 01 TX BCBS
194675802 05 TX
194675803 05 TX
institution
Provider Business Practice Location Address Details
Address
261 W Southlake Blvd
City
State
Zip
76092-7046
Phone Number
817-310-8783
Fax Number
855-640-3872
person
Provider Business Mailing Address Details
Address
261 W Southlake Blvd
City
State
Zip
76092-7046
Phone Number
817-310-8783
Fax Number
855-640-3872
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
M4201 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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