| 6060 Spine/joint, Pllc | |
|
7901 John Carpenter Fwy Dallas TX 75247-4832 | |
| (214) 980-9400 | |
| (469) 802-0070 |
| Full Name | 6060 Spine/joint, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 7901 John Carpenter Fwy, Dallas, Texas |
| Authorized Official Name and Position | Elsy Celis (CREDENTIALING) |
| Authorized Official Contact | 8176739354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 6060 Spine/joint, Pllc 13101 Preston Rd # 110648 Dallas TX 75240-5237 Ph: (214) 980-9400 | 6060 Spine/joint, Pllc 7901 John Carpenter Fwy Dallas TX 75247-4832 Ph: (214) 980-9400 |
| NPI Number | 1275194417 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 9133654627 |
|---|---|
| Medicare Enrollment ID | O20241120003101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275194417 | NPI | - | NPPES |
| Provider Name | Jeffery M Fritz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861562407 PECOS PAC ID: 5395811517 Enrollment ID: I20080911000346 |
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