Organization
COPPELL SPINE & SPORTS REHAB LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA KING (VP, AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
580 S DENTON TAP RD, SUITE 100, COPPELL, TX 75019-4098
(972) 304-9100
(972) 304-9048
Mailing address
580 S DENTON TAP RD, SUITE 100, COPPELL, TX 75019-4098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
01/27/2009
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