Back and Body PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DC9044 Issued in TX

Legal business name

BACK AND BODY PC

Practice address

2995 Preston Rd
Suite 1550
Frisco, TX 75034-0602

Phone

(214) 596-2880

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Symmank, DC

Title

Owner

Phone

(214) 596-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1497971766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "SUITE 102 PMB 803",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 PRESTON RD",
            "address_2": "SUITE 1550",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340602",
            "telephone_number": "214-596-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND BODY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "SYMMANK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-596-2811",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "DC9044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0015KK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.