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Organization

INNATE SPINE & ORTHOPEDICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY MARTIN DC (CEO)
(469) 215-3494
Entity
Organization

Contact information

Practice address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 789-1234
Mailing address
7504 SAN JACINTO PL, PLANO, TX 75024-3233
(972) 789-1234

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
207LP2900X
Pain Medicine (Anesthesiology) Physician
207X00000X
Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
04/16/2021
Last updated
03/13/2022
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