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Organization
SOUTH TEXAS BACK CLINIC INC
Active
Organization
SOUTH TEXAS BACK CLINIC INC
Active
Other names
South Texas Spine & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. F QUINN LEWIS (MANAGER/CEO)
(325) 513-1703
Entity
Organization
Contact information
Practice address
9114 MCPHERSON ROAD, SUITE 2505, LAREDO, TX 78045-6511
(956) 726-9886
(956) 722-1590
Mailing address
9114 MCPHERSON ROAD, SUITE 2505, LAREDO, TX 78045-6511
(956) 726-9886
(956) 722-1590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11212
TX
111N00000X
Chiropractor
5449
TX
363LF0000X
Family Nurse Practitioner
F0914439
TX
Other
Enumeration date
05/04/2011
Last updated
11/25/2014
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