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Spine Team Texas, Pa
Specialist in Rockwall, Texas
NPI 1609009505

Spine Team Texas, Pa is a Specialist based in Southlake, TX. Spine Team Texas, Pa practices in Rockwall, TX. The NPI Number for Spine Team Texas, Pa is 1609009505 and holds a License No. (Texas).

The current practice location address for Spine Team Texas, Pa is 3142 Horizon Rd, Rockwall, TX and can be reached out via phone at 817-442-9300 and via fax at 817-796-0763. You can also correspond with Spine Team Texas, Pa through the mailing address at 1545 E SOUTHLAKE BLVD, SOUTHLAKE, TX - 76092-6422 (mailing address contact number: 817-442-9300).

Location: 3142 Horizon Rd, Rockwall, TX, 76092-6422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609009505
Provider Name
Spine Team Texas, Pa
Credential
Provider Entity Type
Organization
Address
3142 Horizon Rd, Rockwall, TX, 76092-6422
Phone Number
817-442-9300
Fax Number
817-796-0763
Provider Enumeration Date
08/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00957Z 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3142 Horizon Rd
City
Rockwall
State
Texas
Zip
75032-7809
Phone Number
817-442-9300
Fax Number
817-796-0763
person
Provider Business Mailing Address Details
Address
3142 Horizon Rd
City
Rockwall
State
Texas
Zip
75032-7809
Phone Number
817-442-9300
Fax Number
817-796-0763
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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.
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