Type 2 organization · NPI 1003005646
SPINE TIME PA
111N00000X · GARLAND, TX
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 111N00000X | 111N00000X | Primary |
| 111NN1001X | 111NN1001X | Additional |
| 111NS0005X | 111NS0005X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s