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NPI Code Detail

MEDICARE: WEST TEXAS SPINE INSTITUTE, PLLC

MEDICARE: WEST TEXAS SPINE INSTITUTE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1083250914
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST TEXAS SPINE INSTITUTE, PLLC
Provider Business Mailing Address
First Line : 4400 STATE HIGHWAY 121 STE 405
Second Line :
City : LEWISVILLE
State : TX
Zip : 75056-4561
Country : US
Telephone Number : 432-231-4911
Fax Number :
Provider Business Practice Location Address
First Line : 500 E 4TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-5110
Country : US
Telephone Number : 432-231-4911
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRIAN REECE
Credential : MD
Telephone Number : 850-293-6742
Provider Enumeration Date : 11/26/2019
Last Update Date : 09/27/2021

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Directions to “WEST TEXAS SPINE INSTITUTE, PLLC ” Practice Location

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