Organization
ORTHO SPINE SURGERY INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF PHELPS MD (OWNER)
(817) 616-0700
Entity
Organization
Contact information
Practice address
8801 N TARRANT PKWY, NORTH RICHLAND HILLS, TX 76182-8461
(817) 616-0700
(817) 616-0708
Mailing address
8801 N TARRANT PKWY, NORTH RICHLAND HILLS, TX 76182-8461
(817) 616-0700
(817) 616-0708
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L4093
TX
Other
Enumeration date
04/19/2007
Last updated
10/03/2011
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