| 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 |