Organization
SOUTHERN SPINE SERVICES, LLC
Active
Organization
SOUTHERN SPINE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI VINSON (BILLING)
(918) 895-7680
Entity
Organization
Contact information
Practice address
9521 B RIVERSIDE PARKWAY #338, TULSA, OK 74137-7422
(918) 895-7680
(918) 236-4646
Mailing address
5729 LEBANON RD, STE 144-206, FRISCO, TX 75034-7260
(918) 895-7680
(918) 236-4646
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
10/15/2018
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