Strategic Spine, LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

STRATEGIC SPINE, LLC

Practice address

2633 McKinney Ave
Suite 130-425
Dallas, TX 75204-2581

Phone

(214) 317-4666

Fax

(214) 317-4667

NPI assigned

Nov 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Valente, D.O.

Title

Owner

Phone

(214) 317-4666

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1063756468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 MCKINNEY AVE",
            "address_2": "SUITE 130-425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042581",
            "telephone_number": "214-317-4666",
            "fax_number": "214-317-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 MCKINNEY AVE",
            "address_2": "SUITE 130-425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042581",
            "telephone_number": "214-317-4666",
            "fax_number": "214-317-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "VALENTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-317-4666",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.