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Organization

PRISM ORTHOPEDIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS BRANDY BARROW (CREDENTIAL COORDINATOR)
(214) 378-4661
Entity
Organization

Contact information

Practice address
7712 SAN JACINTO PL STE 200, PLANO, TX 75024-3212
(214) 378-4661
(888) 624-8659
Mailing address
PO BOX 674074, DALLAS, TX 75267-4074
(214) 396-3936
(888) 624-8659

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N7365
TX

Other

Enumeration date
03/17/2015
Last updated
06/09/2015
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