Provider Demographics
NPI:1407226962
Name:TN SPINE PLLC
Entity Type:Organization
Organization Name:TN SPINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-913-7587
Mailing Address - Street 1:24165 W IH 10
Mailing Address - Street 2:SUITE 217-609
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1114
Mailing Address - Country:US
Mailing Address - Phone:210-951-9055
Mailing Address - Fax:210-951-9066
Practice Address - Street 1:2829 BABCOCK RD
Practice Address - Street 2:TOWER 1 STE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6009
Practice Address - Country:US
Practice Address - Phone:210-951-9055
Practice Address - Fax:210-951-9066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty