Organization · Type 2 NPI

Spine Surgery Service, PLLC

Surgical Physician Assistant · Addison, TX

NPI number 1902386477 Active

Practice location

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Mailing address

1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1902386477

Spine Surgery Service, PLLC's National Provider Identifier is 1902386477, issued on Aug 15, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Addison, TX. The record was last updated on Sep 7, 2023.