DALLAS SPINE CARE PA NPI 1730197286

NPI Information

DALLAS SPINE CARE PA is a medical specialty clinic center in Dallas, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DALLAS SPINE CARE PA NPI is 1730197286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9080 HARRY HINES BLVD
SUITE 210
DALLAS, TX
ZIP 75235-720
Phone: (214) 688-0078

The provider's authorized official is Robert J Henderson .
The authorized official title is Medical Director and has the following contact phone number (214) 688-0078.

The CLIA number assigned to this NPI record is 45D2098154 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/10/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.