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Organization
INTEGRA SPECIALTY GROUP, PA
Active
Organization
INTEGRA SPECIALTY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER A SLOANE DC (CEO)
(972) 263-2424
Entity
Organization
Contact information
Practice address
517 N CARRIER PKWY STE G, GRAND PRAIRIE, TX 75050-5464
(972) 263-2424
(972) 263-5545
Mailing address
517 N CARRIER PKWY STE G, GRAND PRAIRIE, TX 75050-5464
(972) 263-2424
(972) 263-5545
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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