| Conrad Spine And Sport | |
|
8765 Stockard Dr Ste 901 Frisco TX 75034-8009 | |
| (469) 552-5904 | |
| Not Available |
| Full Name | Conrad Spine And Sport |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8765 Stockard Dr Ste 901, Frisco, Texas |
| Authorized Official Name and Position | Nicholas D. Conrad (OWNER) |
| Authorized Official Contact | 4695525904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad Spine And Sport 5000 Whitestone Ln Apt 1431 Plano TX 75024-3039 Ph: (417) 350-5722 | Conrad Spine And Sport 8765 Stockard Dr Ste 901 Frisco TX 75034-8009 Ph: (469) 552-5904 |
| NPI Number | 1881355303 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 03/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881355303 | NPI | - | NPPES |
| 1750054672 | Other | NPI 1 NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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