The Ortho Spine Clinic | |
13112 Hwy 110 S Tyler TX 75707-6350 | |
(903) 521-0824 | |
Not Available |
Full Name | The Ortho Spine Clinic |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 13112 Hwy 110 S, Tyler, Texas |
Authorized Official Name and Position | Voranart K Sunakapadee (OWNER) |
Authorized Official Contact | 9035978007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Ortho Spine Clinic 4020 N Macarthur Blvd Irving TX 75038-6419 Ph: (817) 874-0926 | The Ortho Spine Clinic 13112 Hwy 110 S Tyler TX 75707-6350 Ph: (903) 521-0824 |
NPI Number | 1457190456 |
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Provider Enumeration Date | 05/21/2024 |
Last Update Date | 05/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457190456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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