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General NPI Number Information
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NPI Number | 1396950895
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Entity Type | Organization
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Legal Business Name | TEXAS INSTITUTE FOR SPINE PAIN & REHABILITATION, P.A.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | TOWN PARK SURGERY CENTER 9901 TOWN PARK DR
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-773-0556
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Fax |
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Provider Business Mailing Address
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Address Line | 6776 SOUTHWEST FWY SUITE 450
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City | HOUSTON
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State | TX
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Zip | 77074-2107
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Country | US
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Telephone | 713-773-4348
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Fax | 713-773-1948
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Authorized Official
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Title or Position | CEO
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Name | DINKER G AMATYA
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Credential |
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Telephone | 713-773-4348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | TX
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