| NPI | 1740481910 |
|---|---|
| Doing Business As | ADVANCED SPINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BIJAN ROOSTAEI Business Manager 972-488-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: TX 9801) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: TX 10069) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-04-10 |