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General NPI Number Information
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NPI Number | 1942292255
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Entity Type | Organization
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Legal Business Name | TEXAS SPINE AND JOINT HOSPITAL, LLC
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1814 ROSELAND BLVD
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City | TYLER
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State | TX
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Zip | 75701-4262
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Country | US
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Telephone | 903-525-3300
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Fax | 903-525-3397
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Provider Business Mailing Address
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Address Line | 1814 ROSELAND BLVD
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City | TYLER
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State | TX
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Zip | 75701-4262
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Country | US
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Telephone | 903-525-3300
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Fax | 903-525-3397
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DONITA FLEMING
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Credential |
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Telephone | 202-815-3665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 007902
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License Number State | TX
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