Organization
ISPINE (PRIMETIME REHABILITATION AND PERFORMANCE DIVISION)
Active
Parent organization
ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT
Authorized official
DR. REGINALD JAMES NEWSOME MD (CEO)
(832) 969-2784
Entity
Organization
Contact information
Practice address
2710 N JOSEY LN, SUITE 302, CARROLLTON, TX 75007-5400
(832) 969-2784
Mailing address
2220 CANTON ST APT 211, DALLAS, TX 75201-5932
(832) 969-2784
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
M8869
TX
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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