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Organization

JOINT & SPINE CENTER PA

Active
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Organization

JOINT & SPINE CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY LEON PRUSKI DC (OWNER)
(936) 295-1777
Entity
Organization

Contact information

Practice address
100 MEDICAL CENTER PARKWAY, SUITE #100, HUNTSVILLE, TX 77340
(936) 295-1777
(936) 295-3680
Mailing address
100 MEDICAL CENTER PARKWAY, SUITE #100, HUNTSVILLE, TX 77340
(936) 295-1777
(936) 295-3680

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5291
TX
111NR0400X
Rehabilitation Chiropractor
1036200
TX
111NR0400X
Rehabilitation Chiropractor
5291
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L17L
BCBS I.D. NUMBER
TX
Enumeration date
04/02/2007
Last updated
11/03/2010
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