Organization
ADVANCED SPINE CENTER
Active
Organization
ADVANCED SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN D. SMITH (CFO)
(817) 200-6492
Entity
Organization
Contact information
Practice address
1705 OHIO DRIVE, SUITE 300, PLANO, TX 75093
(817) 200-6492
(817) 549-8116
Mailing address
1705 OHIO DRIVE, SUITE 300, PLANO, TX 75093
(817) 200-6492
(817) 549-8116
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
03/14/2018
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