ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA
Osteopathic Medicine at Canton St, Dallas, TX

License number
Texas M8869
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. REGINALD JAMES NEWSOME MD
Title: CEO
Phone: (832) 969-2784
Address
Address
2220 Canton St SUITE 211, Dallas, TX 75201
National Provider ID: 1215354972
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA

2220 Canton St APT 211, Dallas, TX 75201

Registration:
Jan 27, 2014
State ID:
0801925353
Business type:
Professional Association
Secretary, Vice-Presidents:
Reginald Newsome (Director, Member, President, Treasurer),Maria Angel (Secretary, Vice-President)
Agent:
Reginald J Newsome,2220 Canton St SUITE 211, Dallas, TX 75201 (Physical)
TIN:
32053060151

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