# SPINE HEALTH AND WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1891357026
- **Authorized official:** GREGORY STOWE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (214) 498-4866

## Contact information

- **Practice address:** 600 E JOHN CARPENTER FWY STE 125, IRVING, TX 75062-4299
- **Practice address phone:** (972) 556-5667
- **Practice address fax:** (972) 635-4430
- **Mailing address:** 600 E JOHN CARPENTER FWY STE 125, IRVING, TX 75062-4299
- **Mailing address phone:** (972) 556-5667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2019
- **Last updated:** 01/07/2022