Organization
EQUINOX SPINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VALENTE D.O. (PRESIDENT)
(214) 384-1642
Entity
Organization
Contact information
Practice address
3160 NORTH TARRANT PARKWAY, FORT WORTH, TX 76177
(972) 707-0005
(888) 992-6199
Mailing address
7712 SAN JACINTO PL, PLANO, TX 75024-3257
(972) 707-0005
(888) 992-6199
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
K8470
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N7365
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/01/2014
Last updated
08/06/2014
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