Organization
ABILENE SPINE & JOINT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A. IRVINE (OWNER)
(254) 245-9175
Entity
Organization
Contact information
Practice address
4351 RIDGEMONT DR STE B, ABILENE, TX 79606-8747
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 11538, KILLEEN, TX 76547-1538
(254) 245-9177
(254) 245-9178
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007117
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087968601
—
TX
01
—
181454800
ACS TX DEPARTMENT LABOR
TX
01
—
HH1515
BCBS
TX
Enumeration date
06/25/2006
Last updated
12/30/2024
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