Organization
TEXAS BACK INSTITUTE PHYSICIANS P.A.
Active
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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