NPI Code Detail JSON Logo

1588292791 NPI number — SPINEPLUS HEALTHCARE LLC

NPI Number: 1588292791
Health Care Provider/Practitioner: SPINEPLUS HEALTHCARE LLC

Information about “1588292791” NPI (SPINEPLUS HEALTHCARE LLC) exists in 1588292791 in HTML format HTML  |  1588292791 in plain Text format TXT  |  1588292791 in PDF (Portable Document Format) PDF  |  1588292791 in an XML format XML  formats.

NPI Number : 1588292791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588292791",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPINEPLUS HEALTHCARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4031 FM 1463 RD STE 150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KATY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77494-5963",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-298-8173",
    "MailingAddressFaxNumber": "713-234-6738",
    "FirstLinePracticeLocationAddress": "2918 SAN JACINTO ST STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77004-2708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-673-8292",
    "PracticeLocationAddressFaxNumber": "713-234-6738",
    "EnumerationDate": "04/01/2020",
    "LastUpdateDate": "04/01/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TORRES",
    "AuthorizedOfficialFirstName": "RAYMOND",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "713-298-8173",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0400X",
          "TaxonomyName": "Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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