| 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 |