Organization
CENTRAL TEXAS SPINE INSTITUTE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSICA AGNEW (BUSINESS MANAGER)
(512) 795-2225
Entity
Organization
Contact information
Practice address
3003 BEE CAVES RD SUITE 201, AUSTIN, TX 78774-5550
(512) 795-2225
(512) 795-0701
Mailing address
3003 BEE CAVES RD SUITE 201, AUSTIN, TX 78774-5550
(512) 795-2225
(512) 795-0701
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
H7390
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
D5229
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
G4110
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G5625
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
K3624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083818701
—
TX
Enumeration date
07/17/2006
Last updated
08/06/2024
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