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Organization

SPINE SURGICAL SERVICES, PLLC

Active
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Organization

SPINE SURGICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE SILVA (PAMS NPI ADMINISTRATOR)
(210) 598-4287
Entity
Organization

Contact information

Practice address
908 AUDELIA RD STE 200-308, RICHARDSON, TX 75081-5166
(469) 420-5219
Mailing address
908 AUDELIA RD STE 200-308, RICHARDSON, TX 75081-5166

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
11/30/2015
Last updated
09/05/2017
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