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Contact Information

SPINE TEAM TEXAS PA
1545 E SOUTHLAKE BLVD
SUITE 100
SOUTHLAKE, TX76092
 Phone: 817-442-9300
 Fax: 917-416-0108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Spinal Cord Injury Medicine

2081P0004X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SPINE TEAM TEXAS PA

NPI # 1629082995
LBN Legal business name SPINE TEAM TEXAS PA
Authorized official MARK HOOD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 07/17/2014 - About 12 years ago
Identifiers
TX Other 00959Z MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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