Provider Demographics
NPI:1407096340
Name:BONE & SPINE SPECIALISTS
Entity Type:Organization
Organization Name:BONE & SPINE SPECIALISTS
Other - Org Name:ALEXANDER CHIROPRACTIC AND SPORTS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACE
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-899-9797
Mailing Address - Street 1:PO BOX 118917
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-8917
Mailing Address - Country:US
Mailing Address - Phone:972-899-9797
Mailing Address - Fax:469-771-0268
Practice Address - Street 1:5425 W SPRING CREEK PKWY STE 115
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4333
Practice Address - Country:US
Practice Address - Phone:972-899-9797
Practice Address - Fax:469-771-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1952307845OtherNPI - TYPE I