NPI | 1316727936 |
---|---|
Doing Business As | SUPERIOR SPINE & SPORTS |
Entity Type | Organization |
Authorized Contact | TERRY L HANSEN Medical Director 214-228-4135 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
Enumeration Date | 2023-10-02 |
Last Update Date | 2023-10-02 |