Organization
PREMIER SPINE ASSOCIATES OF NORTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD KIBUULE M.D. (CEO)
(214) 497-2126
Entity
Organization
Contact information
Practice address
7989 W VIRGINIA DR, SUITE 105, DALLAS, TX 75237-3837
(214) 556-3371
(214) 295-9795
Mailing address
2904 FRANCISCAN DR, SUITE 1628, ARLINGTON, TX 76015-2574
(214) 497-2126
(214) 295-9795
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N0166
TX
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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