Organization · Type 2 NPI

Elite Spine Services PLLC

Surgical Physician Assistant · Longview, TX

NPI number 1023607454 Active

Practice location

700 E Marshall Ave
Longview, TX 75601-5580

Call (817) 756-8236 Map

Mailing address

2140 Hall Johnson Rd, 102 # 128
Grapevine, TX 76051-8753

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1023607454

Elite Spine Services PLLC's National Provider Identifier is 1023607454, issued on Jan 11, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Longview, TX. The record was last updated on Jan 25, 2021.