Provider Demographics
NPI:1699055947
Name:SELECT SPINE & WELLNESS CENTER
Entity type:Organization
Organization Name:SELECT SPINE & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-483-0340
Mailing Address - Street 1:4500 HILLCREST RD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5418
Mailing Address - Country:US
Mailing Address - Phone:972-483-0340
Mailing Address - Fax:975-233-5145
Practice Address - Street 1:4500 HILLCREST RD
Practice Address - Street 2:SUITE 145
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5418
Practice Address - Country:US
Practice Address - Phone:972-483-0340
Practice Address - Fax:975-233-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty