Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southern Spine Institute PLLC

Organization Specialist · NPI 1316329071

Southern Spine Institute PLLC provides Specialist services in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11970 N Central Expy Ste 450
Dallas, TX 75243-3787 Not confirmed with CMS for 11 years — call before visiting
Phone: (972) 385-9898
Fax: (888) 770-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence J1856 (TX)

Record details

NPI number1316329071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Banister — President · (806) 683-9251
NPI enumeratedJune 18, 2015
Last updated in NPPESJune 18, 2015
Mailing addressPo Box 260343, Plano, TX 75026-0343

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