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MINIMALLY INVASIVE SPINE CENTER PA NPI 1972832863


NPI Information

NPI: 1972832863
Provider Name: MINIMALLY INVASIVE SPINE CENTER, PA
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
4301 N MACARTHUR BLVD
SUITE 101
IRVING, TX
ZIP 75038
Phone: (214) 317-4666
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MINIMALLY INVASIVE SPINE CENTER, PA is an orthopaedic surgery of the spine orthopaedic surgery in Irving, 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. MINIMALLY INVASIVE SPINE CENTER, PA NPI is 1972832863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4301 N MACARTHUR BLVD
SUITE 101
IRVING, TX
ZIP 75038-497
Phone: (214) 317-4666
Fax: (214) 317-4667

The provider's authorized official is Douglas S Won .
The authorized official title is Ceo and has the following contact phone number (214) 317-4666.

The enumeration date for this NPI number is 12/23/2009 and was last updated on 12/23/2009.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineL9018TEXASYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18C0686MEDICARE PINTEXAS

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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