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1619261757
SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.
SOUTHLAKE, TX
NPI
1619261757
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Entity Type
Organization
Authorized Contact
JEFFERY B PHELPS
President
817-616-0700
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: TX L5053)
Enumeration Date
2011-06-07
Last Update Date
2011-06-07
Business Address
SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.
1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6010
Phone number: 817-310-0421
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Mailing Address
SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.
1001 WEST SOUTHLAKE BLVD.
SOUTHLAKE, TX 76092
Phone number: 817-310-0421
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