Desoto Spine Center, Pllc

NPI #1760718175 in Desoto, Texas

Provider Information

NPI Number: 1760718175
Entity Type: Organization
Organization Name: Desoto Spine Center, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Oct 20, 2009
Last Updated: Oct 20, 2009

Practice Location

Address: 1233 E PLEASANT RUN RD
Address 2: SUITE B
City: Desoto
State: Texas
ZIP Code: 75115-4200
Phone: (469) 567-8242

Authorized Official

Name: DR. RAYMOND E. NEWSOME, D.C.
Title: OWNER
Phone: (469) 567-8242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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