Advanced Spine & Sports Medicine is a
Physical Medicine & Rehabilitation based in Dallas, Texas. Advanced Spine & Sports Medicine is licensed to practice in Texas (license number PT1126068) and their current practice location is
4801 Spring Valley Rd, Suite 40, Dallas, Texas. It can be reached at their office (for appointments etc.) via phone at
(972) 488-9686.
NPI number for Advanced Spine & Sports Medicine is 1326155284 and their current mailing address is Po Box 1731, Addison, Texas. Advanced Spine & Sports Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1326155284.
Healthcare Provider's Profile
| Full Name | Advanced Spine & Sports Medicine |
|---|
| Type | Facility |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 4801 Spring Valley Rd, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326155284
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Advanced Spine & Sports Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326155284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NS0005X | Chiropractor - Sports Physician | DC6832 (Texas) | Primary |
| 111NS0005X | Chiropractor - Sports Physician | DC9801 (Texas) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | PT1126068 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Advanced Spine & Sports Medicine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Advanced Spine & Sports Medicine
Po Box 1731,
Addison, TX 75001-1731
Ph: (972) 488-9686 | Advanced Spine & Sports Medicine
4801 Spring Valley Rd, Suite 40,
Dallas, TX 75244
Ph: (972) 488-9686 |
Reviews and Comments