| NPI | 1215297734 |
|---|---|
| Former Legal Business Name | INSTITUTE FOR SPINECARE PA |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S WON Owner 972-255-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX L9018) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-07-22 |