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1841220837

NPI Code Detail

MEDICARE: TEXAS BACK INSTITUTE PHYSICIANS P.A.

MEDICARE: TEXAS BACK INSTITUTE PHYSICIANS P.A.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	111N00000X	Chiropractor
3	208100000X	Physical Medicine & Rehabilitation Physician
4	208600000X	Surgery Physician
5	208VP0000X	Pain Medicine Physician
6	363A00000X	Physician Assistant
7	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841220837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS BACK INSTITUTE PHYSICIANS P.A.

Provider Business Mailing Address
First Line	:	PO BOX 262409
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75026-2409
Country	:	US
Telephone Number	:	972-608-5000
Fax Number	:	972-608-5020

Provider Business Practice Location Address
First Line	:	6020 W PARKER RD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8172
Country	:	US
Telephone Number	:	972-608-5000
Fax Number	:	972-608-5020

Authorized Official
Title or Position	:	CFO
Name	:	TRISH BOWLING
Credential	:
Telephone Number	:	972-608-5110

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/18/2013

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Directions to “TEXAS BACK INSTITUTE PHYSICIANS P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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