| 6060 Spine/joint, Pllc | |
|
742 E Hwy 121 Lewisville TX 75057-4113 | |
| (214) 980-9400 | |
| (469) 802-0070 |
| Full Name | 6060 Spine/joint, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 742 E Hwy 121, Lewisville, Texas |
| Authorized Official Name and Position | Lisa Merkow (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7278009958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 6060 Spine/joint, Pllc 13101 Preston Rd # 110648 Dallas TX 75240-5237 Ph: (214) 980-9400 | 6060 Spine/joint, Pllc 742 E Hwy 121 Lewisville TX 75057-4113 Ph: (214) 980-9400 |
| NPI Number | 1275194417 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 08/07/2025 |
| Medicare PECOS PAC ID | 9133654627 |
|---|---|
| Medicare Enrollment ID | O20241120003101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275194417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeffery M Fritz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861562407 PECOS PAC ID: 5395811517 Enrollment ID: I20080911000346 |
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