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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)

NPI # 1245649557
LBN Legal business name ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)
Authorized official REGINALD NEWSOME - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/12/2014
Last updated 08/12/2014 - About 12 years ago
Identifiers
TX License # M8869
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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