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1023607454
ELITE SPINE SERVICES PLLC
LONGVIEW, TX
NPI
1023607454
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Entity Type
Organization
Authorized Contact
REKHA WAGLE
Npi Administrator
817-756-8232
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2021-01-11
Last Update Date
2021-01-25
Business Address
ELITE SPINE SERVICES PLLC
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 817-756-8236
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Mailing Address
ELITE SPINE SERVICES PLLC
2140 HALL JOHNSON RD, 102 # 128
GRAPEVINE, TX 76051-8753
Phone number: 817-756-8232
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