# DALLAS SPINE CARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730197286
- **Authorized official:** ROBERT J HENDERSON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (214) 688-0078

## Contact information

- **Practice address:** 9080 HARRY HINES BLVD, SUITE 210, DALLAS, TX 75235-1720
- **Practice address phone:** (214) 688-0078
- **Mailing address:** 7600 JOHN W CARPENTER FWY, PMB \#8, DALLAS, TX 75247-4827
- **Mailing address phone:** (214) 688-0078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | C1011 | TX | — |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 07/10/2012