Organization
TEXAS BACK INSTITUTE PHYSICIANS P.A.
Active
Other names
Texas Back Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH BOWLING (CFO)
(972) 608-5110
Entity
Organization
Contact information
Practice address
6020 W PARKER RD STE 200, PLANO, TX 75093-8172
(972) 608-5000
(972) 608-5020
Mailing address
PO BOX 262409, PLANO, TX 75026-2409
(972) 608-5000
(972) 608-5020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361396-04
—
TX
05
—
1361396-05
—
TX
05
—
1361396-07
—
TX
Enumeration date
07/04/2006
Last updated
07/18/2013
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