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NPI Code Detail

MEDICARE: TEXAS INSTITUTE FOR SPINE CARE, PLLC

MEDICARE: TEXAS INSTITUTE FOR SPINE CARE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1861808321
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS INSTITUTE FOR SPINE CARE, PLLC
Provider Business Mailing Address
First Line : 2500 E TC JESTER BLVD
Second Line : SUITE 130
City : HOUSTON
State : TX
Zip : 77008-1365
Country : US
Telephone Number : 844-774-6389
Fax Number :
Provider Business Practice Location Address
First Line : 1140A CYPRESS STATION DR
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3058
Country : US
Telephone Number : 844-774-6389
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DR. NILESH N KOTECHA
Credential : M.D
Telephone Number : 844-774-6389
Provider Enumeration Date : 07/05/2014
Last Update Date : 07/05/2014

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Directions to “TEXAS INSTITUTE FOR SPINE CARE, PLLC ” Practice Location

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