Organization · NPI-2
Spine Team Texas-Rockwall, PA
Neurological Surgery · Rockwall, TX
NPI number1396918538
StatusActive
Last updated in NPPESApr 9, 2008
Details
- NPI
- 1396918538
- Entity type
- Organization (NPI-2)
- Legal business name
- Spine Team Texas-Rockwall, PA
- Organization subpart
- No
- Enumeration date
- Apr 9, 2008
- Last updated
- Apr 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 208100000X | Physical Medicine & Rehabilitation | – | – |
Practice location
3142 Horizon RoadSuite 100
Rockwall, TX 75032
Phone 972-772-9600 · Fax 972-772-9601
Mailing address
1545 E Southlake BlvdSuite 100
Southlake, TX 76092-6422
Phone 817-442-9300 · Fax 817-796-0763
Authorized official
Mark Hood
Chief Executive Officer
9727729600
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