Organization
9397 LLC
Active
Other names
MK Spine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE GROSS (VP OF REVENUE CYCLE SOLUTIONS)
(214) 615-5168
Entity
Organization
Contact information
Practice address
7257 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(214) 615-5168
(888) 526-9542
Mailing address
PO BOX 3837, CAROL STREAM, IL 60132-3837
(214) 615-5168
(888) 526-9542
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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