Organization
TITAN SPINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA ALDERETE (LEGAL OPERATION MANAGER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
675 TOWN SQUARE BOULEVARD SUITE 200 1A, GARLAND, TX 75040
(903) 375-0168
Mailing address
MSC 484 PO BOX 650097, DALLAS, TX 75265-0097
(903) 375-0168
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
01/22/2020
Last updated
06/07/2021
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