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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