Healthcare Provider Details
I. General information
NPI: 1275194417
Provider Name (Legal Business Name): 6060 SPINE/JOINT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2019
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5454 SURREY PATH STE 208
FRISCO TX
75034-9582
US
IV. Provider business mailing address
13101 PRESTON RD STE 110648
DALLAS TX
75240-5237
US
V. Phone/Fax
- Phone: 512-422-0633
- Fax: 469-802-0700
- Phone: 512-422-0633
- Fax: 469-802-0070
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFERY
M
FRITZ
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 214-980-9400