| Spine & Joint Physician Associates | |
|
1814 Roseland Blvd Tyler TX 75701-4234 | |
| (903) 525-3330 | |
| Not Available |
| Full Name | Spine & Joint Physician Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1814 Roseland Blvd, Tyler, Texas |
| Authorized Official Name and Position | Jenetha D Moran (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9727633893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Joint Physician Associates 1814 Roseland Blvd Tyler TX 75701-4234 Ph: (903) 525-3330 | Spine & Joint Physician Associates 1814 Roseland Blvd Tyler TX 75701-4234 Ph: (903) 525-3330 |
| NPI Number | 1598283400 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598283400 | NPI | - | NPPES |
| 802145828 | Other | TEXAS SOS FILING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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