Organization
TEXAS SPINE & REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE A KUBECKA D.C (OWNER)
(361) 776-0030
Entity
Organization
Contact information
Practice address
2560 STATE HIGHWAY 361, INGLESIDE, TX 78362-4110
(361) 776-0030
(361) 776-0731
Mailing address
2560 STATE HIGHWAY 361, INGLESIDE, TX 78362-4110
(361) 776-0030
(361) 776-0731
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AJ308
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/19/2008
Last updated
06/17/2008
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