Organization
LARRY NORTH SPORTS MEDICINE
Active
Other names
ADVANCED SPINE & SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PAREDES (OFFICE MANAGER)
(972) 488-9686
Entity
Organization
Contact information
Practice address
4801 SPRING VALLEY RD, SUITE 40, DALLAS, TX 75244
(972) 488-9686
(972) 241-1936
Mailing address
PO BOX 1731, ADDISON, TX 75001-1731
(972) 488-9686
(972) 241-1936
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
10069
TX
111NS0005X
Sports Physician Chiropractor
Primary
6832
TX
111NS0005X
Sports Physician Chiropractor
9801
TX
225100000X
Physical Therapist
PT1126068
TX
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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