Provider Demographics
NPI:1144918384
Name:TEXAS SPINE PHYSICIANS
Entity type:Organization
Organization Name:TEXAS SPINE PHYSICIANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALUNKAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-338-2678
Mailing Address - Street 1:7300 ELDORADO PKWY STE 255
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9194
Mailing Address - Country:US
Mailing Address - Phone:469-995-7957
Mailing Address - Fax:469-995-8733
Practice Address - Street 1:7300 ELDORADO PKWY STE A
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7891
Practice Address - Country:US
Practice Address - Phone:469-995-7957
Practice Address - Fax:469-995-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty