Genesis Spine Associates, INC

NPI #1043547607 in Grapevine, Texas

Provider Information

NPI Number: 1043547607
Entity Type: Organization
Organization Name: Genesis Spine Associates, INC
Primary Specialty: Chiropractor
Enumeration Date: Nov 3, 2009
Last Updated: Jul 14, 2010

Practice Location

Address: 901 W WALL ST
Address 2: STE 101
City: Grapevine
State: Texas
ZIP Code: 76051-7414
Phone: (817) 481-4246

Authorized Official

Name: NICHOLAS COLEMAN, D.C.
Title: PRESIDENT
Phone: (972) 378-9991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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