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Organization

SPINE TEAM TEXAS-ROCKWALL, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK HOOD (CHIEF EXECUTIVE OFFICER)
(972) 772-9600
Entity
Organization

Contact information

Practice address
3142 HORIZON ROAD, SUITE 100, ROCKWALL, TX 75032
(972) 772-9600
(972) 772-9601
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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