Organization
KL MODERN SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DOMINGUEZ (CEO)
(713) 774-6337
Entity
Organization
Contact information
Practice address
16659 SOUTHWEST FWY, SUITE 151, SUGAR LAND, TX 77479-2375
(713) 774-6337
(281) 313-7747
Mailing address
16659 SOUTHWEST FWY, SUITE 151, SUGAR LAND, TX 77479-2375
(713) 774-6337
(281) 313-7747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
04/27/2011
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