OrganizationActive
Equinox Spine PA
NPI 1992113088 · Orthopaedic Surgery of the Spine Physician · Fort Worth, TX
Provider details
- NPI number
- 1992113088
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Valente, President(214) 384-1642
- License
- K8470 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3160 North Tarrant Parkway
Fort Worth, TX 76177
Phone: (972) 707-0005
Fax: (888) 992-6199
Approximate (ZIP-level) locationGet directions
Mailing address
7712 San Jacinto Pl
Plano, TX 75024-3257
Registry dates
- Enumerated
- 2014-08-01
- Last updated
- 2014-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.