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Organization
SPINE TIME PA
Active
Organization
SPINE TIME PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WAYNE WILLIAMSON D.C. (CEO)
(214) 563-1790
Entity
Organization
Contact information
Practice address
4702 NORTHWEST HWY, GARLAND, TX 75043-4912
(972) 270-5333
Mailing address
4702 NORTHWEST HWY, GARLAND, TX 75043-4912
(972) 270-5333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10235
TX
111NN1001X
Nutrition Chiropractor
10235
TX
111NS0005X
Sports Physician Chiropractor
10235
TX
Other
Enumeration date
10/19/2007
Last updated
12/29/2023
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