Organization
SCOLIOSIS CENTER OF EAST TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA M. INGRAM (OWNER)
(903) 567-5579
Entity
Organization
Contact information
Practice address
921 W DALLAS ST, CANTON, TX 75103-1009
(903) 567-5579
Mailing address
921 W DALLAS ST, CANTON, TX 75103-1009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC6598
TX
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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