Organization
BACK AND BODY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SYMMANK DC (OWNER)
(214) 596-2811
Entity
Organization
Contact information
Practice address
2995 PRESTON RD, SUITE 1550, FRISCO, TX 75034-0602
(214) 596-2880
Mailing address
5100 ELDORADO PKWY, SUITE 102 PMB 803, MCKINNEY, TX 75070-6309
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DC9044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015KK
BCBS
TX
Enumeration date
04/17/2007
Last updated
09/08/2014
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