| NPI | 1184843245 |
|---|---|
| Other Name | GENESIS SPINE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E SULLIVAN Doctor 972-378-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8483) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |