Genesis Spine Associates, Inc

NPI 1043547607 - Chiropractor - 111N00000X

NPI Details
NPI 1043547607
Enumeration Date 11/03/2009
Last Updated 07/14/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NICHOLAS NICHOLAS
Position PRESIDENT
Phone (817) 481-4246
Fax
Practice Location
901 W WALL ST
STE 101
GRAPEVINE TX, 76051-7414, US
Phone (817) 481-4246
Fax
Business Location
6101 WINDCOM CT
STE 300
PLANO TX, 75093-7817, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, Genesis Spine Associates, Inc NPI is 1043547607, taxonomy code is 111N00000X Genesis Spine Associates, Inc physically located at 901 W Wall St, Grapevine TX, 76051-7414. NPI Number 1033115704 has the healthcare provider type.

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1043547607 NPI number is provided on an as is basis without warranty of any kind. 1043547607 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Spine Associates, Inc are for informational purposes only.