Organization
INTERVENTIONAL SPINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M SUTHERLAND M.D. (OFFICER)
(903) 593-1738
Entity
Organization
Contact information
Practice address
5550 LBJ FWY, SUITE 360, DALLAS, TX 75240-6217
(903) 593-1738
(903) 596-7852
Mailing address
PO BOX 7939, TYLER, TX 75711-7939
(903) 593-1738
(903) 596-7852
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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