Organization
TEXAS SPINE AND JOINT HOSPITAL, LLC
Active
Other names
Baylor Scott & White TX Spine & Joint Hosp Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
TONY WAHL (OFFICER / AUTHORIZED OFFICIAL)
(903) 525-3300
Entity
Organization
Contact information
Practice address
8101 S BROADWAY AVE, TYLER, TX 75703-5469
(903) 939-0920
Mailing address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 525-3330
(903) 525-3398
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162459501
—
TX
Enumeration date
01/23/2017
Last updated
10/22/2020
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