# MCS DALLAS MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOMENTUM SPINE AND JOINT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528422755
- **Authorized official:** MRS. TAMMY ROSALES (OFFICE MANAGER)
- **Authorized official phone:** (214) 557-4111

## Contact information

- **Practice address:** 9441 LYNDON B JOHNSON FWY, SUITE 114, DALLAS, TX 75243-4545
- **Practice address phone:** (214) 557-4111
- **Mailing address:** 9441 LYNDON B JOHNSON FWY, SUITE 114, DALLAS, TX 75243-4545
- **Mailing address phone:** (214) 557-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | N2989 | TX | Yes |

## Other

- **Enumeration date:** 04/13/2016
- **Last updated:** 04/13/2016