| Organization Name: | SOUTHWEST SPORTS & SPINE V, LLP |
| NPI Number: | 1033106984 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG RETTKE (PARTNER) |
| Mailing Address: | 3535 Travis St Suite 160 Dallas |
| State: | TX US |
| Postal Code: | 752041448 |
| Phone Number: | 2143469105 |
| Fax Number: | 2143469125 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 635850006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |