Provider Demographics
NPI:1386077584
Name:SURGICAL SPINE ASSOCIATES, LLP
Entity type:Organization
Organization Name:SURGICAL SPINE ASSOCIATES, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-370-3535
Mailing Address - Street 1:17051 DALLAS PKWY STE 400
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-7101
Mailing Address - Country:US
Mailing Address - Phone:214-370-3535
Mailing Address - Fax:214-282-1379
Practice Address - Street 1:17051 DALLAS PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-7101
Practice Address - Country:US
Practice Address - Phone:214-370-3535
Practice Address - Fax:214-828-1379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty