Organization
ADVANCED SPINE SOLUTIONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN B JAMES MD (PHYSICIAN)
(817) 310-8783
Entity
Organization
Contact information
Practice address
261 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7046
(817) 310-8783
(855) 640-3872
Mailing address
2813 W SOUTHLAKE BLVD, SUITE #100, SOUTHLAKE, TX 76092-6829
(817) 310-8783
(817) 431-0735
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
M4201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059QH
BCBS
TX
05
—
194675801
—
TX
05
—
194675802
—
TX
05
—
194675803
—
TX
Enumeration date
02/20/2008
Last updated
09/19/2023
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