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NPI Code Detail

MEDICARE: TEXAS SPINE CONSULTANTS, LLP

MEDICARE: TEXAS SPINE CONSULTANTS, LLP
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
1208VP0000XPain Medicine Physician
2207XS0117XOrthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number : 1902111651
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS SPINE CONSULTANTS, LLP
Provider Business Mailing Address
First Line : 17051 DALLAS PKWY STE 400
Second Line :
City : ADDISON
State : TX
Zip : 75001-7108
Country : US
Telephone Number : 214-370-3535
Fax Number : 214-970-0004
Provider Business Practice Location Address
First Line : 3465 NATIONAL DR STE 200
Second Line :
City : PLANO
State : TX
Zip : 75025-1095
Country : US
Telephone Number : 214-370-3535
Fax Number : 214-828-1379
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ANDREW PARK
Credential : M.D.
Telephone Number : 214-370-3535
Provider Enumeration Date : 08/18/2010
Last Update Date : 10/16/2024

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Directions to “TEXAS SPINE CONSULTANTS, LLP ” Practice Location

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