MEDICARE: GLOBAL INSTITUTE OF SPINE & JOINT CARE LLC

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	208VP0000X	Pain Medicine Physician	N0271	TX

General Provider Information

NPI Number	:	1881981223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL INSTITUTE OF SPINE & JOINT CARE LLC

Provider Business Mailing Address
First Line	:	201 W RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5857
Country	:	US
Telephone Number	:	214-552-4284
Fax Number	:	888-488-0755

Provider Business Practice Location Address
First Line	:	201 W RANDOL MILL RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76011-5857
Country	:	US
Telephone Number	:	214-552-4284
Fax Number	:	888-488-0755

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VIVEK MEHTA
Credential	:	M.D.
Telephone Number	:	214-552-4284

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	08/20/2011

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