Organization
365 SPINE CARE OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL EDWARD CARLL II MD (OWNER/MANAGER)
(469) 693-0165
Entity
Organization
Contact information
Practice address
8080 INDEPENDENCE PKWY STE 230, PLANO, TX 75025-4013
(469) 693-0165
Mailing address
8080 INDEPENDENCE PKWY STE 230, PLANO, TX 75025-4013
(469) 693-0165
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
TRN6843
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M8573
TX
Other
Enumeration date
01/09/2018
Last updated
06/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up