Organization
RENAISSANCE NEURODIAGNOSTICS PA
Active
Other names
DISC Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHARLIE VALENTE D.O (MANAGER)
(214) 384-1642
Entity
Organization
Contact information
Practice address
7712 SAN JACINTO PLACE, SUITE 200, PLANO, TX 75024-3212
(972) 707-0005
(888) 992-6199
Mailing address
7712 SAN JACINTO PLACE, SUITE 200, PLANO, TX 75024-3212
(972) 707-0005
(888) 992-6199
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N7365
TX
Other
Enumeration date
11/15/2011
Last updated
08/29/2014
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