Organization
SPINE MEDICAL GROUP, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN E SMITH M.D. (OWNER)
(915) 857-6699
Entity
Organization
Contact information
Practice address
10400 VISTA DEL SOL DR STE 204, EL PASO, TX 79925-7924
(915) 857-6699
(915) 856-7268
Mailing address
10400 VISTA DEL SOL DR STE 204, EL PASO, TX 79925-7924
(915) 857-6699
(915) 856-7268
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J3616
TX
Other
Enumeration date
05/13/2006
Last updated
09/17/2019
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