Provider Demographics
NPI:1245377555
Name:NORTH TEXAS SPINECARE, LLP
Entity type:Organization
Organization Name:NORTH TEXAS SPINECARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNTLY
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-370-3006
Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:651
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-370-3006
Mailing Address - Fax:214-370-3010
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:651
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-370-3006
Practice Address - Fax:214-370-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00359RMedicare ID - Type Unspecified