Interventional Spine Associates Pa

NPI 1174912398 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1174912398
Enumeration Date 01/12/2015
Last Updated 02/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROBERT M ROBERT
Position OFFICEER
Phone (903) 593-1738
Fax (903) 596-7852
Practice Location
2001 N JEFFERSON AVE
SUITE 200
MOUNT PLEASANT TX, 75455-2338, US
Phone (903) 593-1738
Fax (903) 596-7852
Business Location
PO BOX 7939
TYLER TX, 75711-7939, US
Phone (903) 593-1738
Fax (903) 596-7852
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Interventional Spine Associates Pa NPI is 1174912398, taxonomy code is 332B00000X Interventional Spine Associates Pa physically located at 2001 N Jefferson Ave, Mount Pleasant TX, 75455-2338. NPI Number 1033115704 has the healthcare provider type.

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1174912398 NPI number is provided on an as is basis without warranty of any kind. 1174912398 is maintained by the National Plan & Provider Enumeration System. The contents of Interventional Spine Associates Pa are for informational purposes only.