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EQUINOX CLINIC PLLC NPI 1902259385


NPI Information

NPI: 1902259385
Provider Name: EQUINOX CLINIC PLLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
3160 N TARRANT PKWY STE 404
FORT WORTH, TX
ZIP 76177
Phone: (972) 707-0005
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EQUINOX CLINIC PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Fort Worth, TX. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. EQUINOX CLINIC PLLC NPI is 1902259385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3160 N TARRANT PKWY STE 404
FORT WORTH, TX
ZIP 76177-614
Phone: (972) 707-0005

The provider's authorized official is Mark C Valente .
The authorized official title is Manager and has the following contact phone number (972) 707-0005.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 7/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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