Organization
GENESIS SPINE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS COLEMAN D.C. (PRESIDENT)
(972) 378-9991
Entity
Organization
Contact information
Practice address
901 W WALL ST, STE 101, GRAPEVINE, TX 76051-7414
(817) 481-4246
Mailing address
6101 WINDCOM CT, STE 300, PLANO, TX 75093-7817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
07/14/2010
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