Healthcare Provider Details
I. General information
NPI: 1013115526
Provider Name (Legal Business Name): DAVID BACK CLINIC OF AMERICA, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10100 N CENTRAL EXPY #110
DALLAS TX
75231-4159
US
IV. Provider business mailing address
10100 N CENTRAL EXPY #110
DALLAS TX
75231-4159
US
V. Phone/Fax
- Phone: 214-365-0378
- Fax: 214-365-0412
- Phone: 214-365-0378
- Fax: 214-365-0412
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2081P0004X |
| Taxonomy | Spinal Cord Injury Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | E6117 |
| License Number State | TX |
VIII. Authorized Official
Name:
BOB
SCHLINKMAN
Title or Position: PARTNER-VP NATIONAL DEVELOPMENT
Credential:
Phone: 972-839-3250