Organization
SOUTHWEST NEUROSCIENCE AND SPINE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDY LEE (BILLING/CREDENTIALING MANAGER)
(806) 353-6400
Entity
Organization
Contact information
Practice address
705 QUAIL CREEK DR, AMARILLO, TX 79124
(806) 353-6400
(806) 358-6766
Mailing address
705 QUAIL CREEK DR, AMARILLO, TX 79124
(806) 353-6400
(806) 358-6766
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094784802
—
TX
Enumeration date
08/20/2006
Last updated
09/01/2023
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