Organization
BACK ICU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD A SPEECE D.O. (MEDICAL DIRECTOR)
(214) 321-8887
Entity
Organization
Contact information
Practice address
10534 GARLAND RD STE A, DALLAS, TX 75218-2637
(214) 321-8887
(214) 321-4329
Mailing address
10534 GARLAND RD STE A, DALLAS, TX 75218-2637
(214) 321-8887
(214) 321-4329
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
06/11/2008
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