Provider Demographics
NPI:1619845799
Name:PRECISION SPINE & SPORT LLC
Entity type:Organization
Organization Name:PRECISION SPINE & SPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:WOODSON
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-549-6561
Mailing Address - Street 1:1707 E BELT LINE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-9600
Mailing Address - Country:US
Mailing Address - Phone:214-222-5948
Mailing Address - Fax:214-513-0460
Practice Address - Street 1:1707 E BELT LINE RD STE 103
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-9600
Practice Address - Country:US
Practice Address - Phone:214-222-5948
Practice Address - Fax:214-513-0460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty