Organization
SPINE INSTITUTE OF TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BANISTER MD (PARTNER)
(972) 499-4280
Entity
Organization
Contact information
Practice address
11970 N CENTRAL EXPY, SUITE 450, DALLAS, TX 75243-3768
(972) 499-4280
(214) 242-8980
Mailing address
11970 N CENTRAL EXPY, SUITE 450, DALLAS, TX 75243-3768
(972) 499-4280
(214) 242-8980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1856
TX
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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