Provider Demographics
NPI:1013115526
Name:DAVID BACK CLINIC OF AMERICA, INC
Entity Type:Organization
Organization Name:DAVID BACK CLINIC OF AMERICA, INC
Other - Org Name:DBC DALLAS
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER-VP NATIONAL DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLINKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-839-3250
Mailing Address - Street 1:10100 N CENTRAL EXPY
Mailing Address - Street 2:#110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4159
Mailing Address - Country:US
Mailing Address - Phone:214-365-0378
Mailing Address - Fax:214-365-0412
Practice Address - Street 1:10100 N CENTRAL EXPY
Practice Address - Street 2:#110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4159
Practice Address - Country:US
Practice Address - Phone:214-365-0378
Practice Address - Fax:214-365-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6117207L00000X
2081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Not Answered2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury MedicineGroup - Multi-Specialty