Organization · Type 2 NPI

Surgical Spine Partners, LLC

Surgical Physician Assistant · Irving, TX

NPI number 1053757633 Active

Practice location

5005 W Royal Ln, Ste 196
Irving, TX 75063-1996

Mailing address

PO Box 204469
Dallas, TX 75320-4469

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1053757633

Surgical Spine Partners, LLC's National Provider Identifier is 1053757633, issued on May 22, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Irving, TX. The record was last updated on Nov 18, 2016.