MEDICARE: TEXAS SPINE GROUP PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	261QP3300X	Pain Clinic/Center
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1609729383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS SPINE GROUP PLLC

Provider Business Mailing Address
First Line	:	3465 NATIONAL DR STE 105
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3465 NATIONAL DR STE 105
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1095
Country	:	US
Telephone Number	:	214-894-4530
Fax Number	:	214-894-4531

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL/OWNER
Name	:	MEHREEN S IQBAL
Credential	:	MD
Telephone Number	:	214-894-4530

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “TEXAS SPINE GROUP PLLC ” Practice Location

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