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
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