| Scoliosis Center Of East Texas, Inc. | |
|
921 W Dallas St Canton TX 75103-1009 | |
| (903) 567-5579 | |
| Not Available |
| Full Name | Scoliosis Center Of East Texas, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 921 W Dallas St, Canton, Texas |
| Authorized Official Name and Position | Tina M. Ingram (OWNER) |
| Authorized Official Contact | 9035675579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scoliosis Center Of East Texas, Inc. 921 W Dallas St Canton TX 75103-1009 Ph: () - | Scoliosis Center Of East Texas, Inc. 921 W Dallas St Canton TX 75103-1009 Ph: (903) 567-5579 |
| NPI Number | 1003062654 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003062654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC6598 (Texas) | Primary |
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