| NPI | 1326155284 |
|---|---|
| Doing Business As | ADVANCED SPINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TRACE L ALEXANDER Doctor 972-488-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: TX DC6832) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX DC9801) |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX PT1126068) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |