45D2019331 CLIA NUMBER - TEXAS SPINE CONSULTANTS

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Laboratory Demographics

CLIA Number: 45D2019331

Facility Name: TEXAS SPINE CONSULTANTS

Facility Address:
17051 NORTH DALLAS PARKWAY SUITE 400
ADDISON, TX
ZIP 75001
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Facility Phone Number: 214 370-3535

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871748384

Taxonomy: 207XS0117X - Orthopaedic Surgery
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.

CLIA Record

Field Name	Field Value
CLIA Number	45D2019331
LAB Type	Physician Office
Facility Name	TEXAS SPINE CONSULTANTS
Street	17051 NORTH DALLAS PARKWAY SUITE 400
City	ADDISON
State	TX
ZIP	75001
Phone	214 370-3535
CertificateType	4
CertificateEffectiveDate	1/27/2023
CertificateExpirationDate	1/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024