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Contact Information

ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)
2710 N JOSEY LN
SUITE 302
CARROLLTON, TX75007-5400
 Phone: 832-969-2784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ISPINE PRIMETIME REHABILITATION AND PERFORMANCE DIVISION · (Female)

NPI Number 1245649557
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2014
Last updated 08/12/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # M8869
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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