# SPINE SPECIALISTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194817825
- **Authorized official:** KEVIN JOSEPH PAUZA M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (903) 593-2222

## Contact information

- **Practice address:** 1814 ROSELAND BLVD., SUITE 250, TYLER, TX 75701
- **Practice address phone:** (903) 593-2222
- **Practice address fax:** (903) 593-0142
- **Mailing address:** PO BOX 9984, TYLER, TX 75711
- **Mailing address phone:** (903) 593-2222
- **Mailing address fax:** (903) 593-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 12/03/2015