Organization
REGENERATIVE ORTHO SPINE INSTITUTE OF TEXAS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ELLMAN (PRESIDENT)
(972) 682-3909
Entity
Organization
Contact information
Practice address
2692 N GALLOWAY AVE, STE 402, MESQUITE, TX 75150-6360
(972) 682-3909
Mailing address
PO BOX 141166, DALLAS, TX 75214-1166
(972) 682-3909
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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