Healthcare Provider Details

I. General information

NPI: 1326364241
Provider Name (Legal Business Name): SPINE GROUP OF TEXAS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2010
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 WELLS FARGO DR STE 112
HOUSTON TX
77090-4044
US

IV. Provider business mailing address

530 WELLS FARGO DR STE 112
HOUSTON TX
77090-4044
US

V. Phone/Fax

Practice location:
  • Phone: 281-440-3500
  • Fax:
Mailing address:
  • Phone: 281-440-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN ESSES
Title or Position: OWNER
Credential: M.D.
Phone: 713-594-4623