Innovative Spine Center, PLLC
Clinic/Center, Ambulatory Surgical in Houston, TX. Organization (NPI-2).
NPI number1750511069
StatusActive
Last updated in NPPESJul 21, 2009
Details
- NPI
- 1750511069
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Spine Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2009
- Last updated
- Jul 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 008568 | TX | Yes |
Practice location
10005 S Main StHouston, TX 77025-5209
Phone 713-532-7311 · Fax 713-532-7399
Mailing address
Po Box 202575Dallas, TX 75320-2575
Phone 713-532-7311 · Fax 713-532-7399
Authorized official
Kenneth Effird
President
7135327311
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