Organization
DEFINITIVE INTERVENTIONAL SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JASON FILLEY M.D. (PRESIDENT)
(281) 543-0012
Entity
Organization
Contact information
Practice address
6225 FM 2920 RD, SUITE 100, SPRING, TX 77379-3474
(713) 562-7890
(281) 605-4566
Mailing address
10507 E WILDWIND CIR, THE WOODLANDS, TX 77380-4043
(713) 562-7890
(281) 605-4566
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
K8150
TX
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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