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Equinox Spine PA

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Plano, TX. Organization (NPI-2).

NPI number1316378367
StatusActive
Last updated in NPPESMar 24, 2014

Details

NPI
1316378367
Entity type
Organization (NPI-2)
Legal business name
Equinox Spine PA
Organization subpart
No
Enumeration date
Dec 2, 2013
Last updated
Mar 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the SpineN7365TXYes
207X00000X Orthopaedic SurgeryN7365TX

Practice location

7712 San Jacinto Place
Suite 200
Plano, TX 75024-3212

Phone 972-707-0005 · Fax 888-992-6199

Mailing address

7712 San Jacinto Place
Suite 200
Plano, TX 75024-3212

Phone 972-707-0005 · Fax 888-992-6199

Authorized official

Mark Charlie Valente
Manager
2143841642

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