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Organization
DALLAS SPINE CARE PA
Active
Organization
DALLAS SPINE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J HENDERSON M.D. (MEDICAL DIRECTOR)
(214) 688-0078
Entity
Organization
Contact information
Practice address
9080 HARRY HINES BLVD, SUITE 210, DALLAS, TX 75235-1720
(214) 688-0078
Mailing address
7600 JOHN W CARPENTER FWY, PMB #8, DALLAS, TX 75247-4827
(214) 688-0078
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
C1011
TX
Other
Enumeration date
08/03/2006
Last updated
07/10/2012
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