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Organization

NORTH TEXAS SPINE CARE, INC

Active
Other names
Center for Health and Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
JANET LEAH INGRAM (PRESIDENT)
(903) 583-7574
Entity
Organization

Contact information

Practice address
2110 N CENTER ST STE A, BONHAM, TX 75418-2628
(903) 583-7574
Mailing address
2110 N CENTER ST STE A, BONHAM, TX 75418-2628
(903) 583-7574

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F003686
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0068EV
BCBS FACILITY NUMBER
TX
01
DR8070
MEDICARE RAILROAD CARRIER
TX
01
F003686
FACILITY CERTIFICATE
TX
Enumeration date
10/03/2006
Last updated
11/02/2011
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