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Organization

QUANTUM INTERVENTIONAL SPORTS AND SPINE MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRUNG VAN HA MD (OWNER)
(694) 913-6136
Entity
Organization

Contact information

Practice address
1451 W AIRPORT FWY STE 1, IRVING, TX 75062-6223
(469) 913-6136
(877) 559-7679
Mailing address
1451 W AIRPORT FWY STE 1, IRVING, TX 75062-6223
(469) 913-6136
(877) 559-7679

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Q3883
TX
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
09/01/2018
Last updated
01/31/2023
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