Healthcare Provider Details
I. General information
NPI: 1851573125
Provider Name (Legal Business Name): SPRING HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2007
Last Update Date: 08/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4711 LOUETTA RD 118
SPRING TX
77388-4351
US
IV. Provider business mailing address
4711 LOUETTA RD 118
SPRING TX
77388-4351
US
V. Phone/Fax
- Phone: 281-355-1838
- Fax: 281-528-7441
- Phone: 281-355-1838
- Fax: 281-528-7441
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 9137 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABBEY
BAKER
Title or Position: DIRECTOR
Credential:
Phone: 281-355-1838