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Organization
LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC
Active
Organization
LEAGUE CITY SPINE AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH SANSALONE DC (MEMBER)
(281) 332-3428
Entity
Organization
Contact information
Practice address
1216 E MAIN ST STE A, LEAGUE CITY, TX 77573-7463
(281) 332-3428
Mailing address
1216 E MAIN ST STE A, LEAGUE CITY, TX 77573-7463
(281) 332-3428
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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