SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C. – NPI #1619261757
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C. is an AHC clinic located in SOUTHLAKE, TX. NPPES has assigned the NPI number 1619261757 to SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C. on June 07, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C. below.

NPI Profile for
SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.

NPI Number
1619261757
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPINE WORKS THERAPY-SOUTHLAKE, P.L.L.C.
Primary location
1001 W SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6010
Phone: (817) 310-0421 Fax: (817) 310-5870
Mailing address
1001 WEST SOUTHLAKE BLVD.
SOUTHLAKE, TX 76092
Phone: (817) 310-0421 Fax: (817) 310-5870
Organization Subpart
No
Authorized Official
JEFFERY PHELPS
PRESIDENT
Phone: (817) 616-0700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 TX L5053

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.