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Organization
SPINE TEAM TEXAS, PA
Active
Organization
SPINE TEAM TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOOD (CEO)
(817) 442-9300
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N # 2370, MOB II, ALLEN, TX 75013-6103
(972) 772-9600
(972) 772-9601
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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