Organization
9397 LLC
Active
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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