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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