Organization
MINIMALLY INVASIVE SPINE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S WON M.D. (CEO)
(214) 317-4666
Entity
Organization
Contact information
Practice address
4301 N MACARTHUR BLVD, SUITE 101, IRVING, TX 75038-6497
(214) 317-4666
(214) 317-4667
Mailing address
4301 N MACARTHUR BLVD, SUITE 101, IRVING, TX 75038-6497
(214) 317-4666
(214) 317-4667
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L9018
TX
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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