# ADVANCED SPINE AND JOINT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Spine and Joint, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477268159
- **Authorized official:** SHANNON BARNES (MANAGER)
- **Authorized official phone:** (972) 330-4689

## Contact information

- **Practice address:** 6550 NAAMAN FOREST BLVD STE 3-100, GARLAND, TX 75044-5691
- **Practice address phone:** (972) 872-8408
- **Mailing address:** 981 STATE HIGHWAY 121 STE 4150, ALLEN, TX 75013-6150
- **Mailing address phone:** (972) 872-8408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 10/12/2023