MEDICARE: SPIRES HEALTHCARE GROUP, PC

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
1	111N00000X	Chiropractor	8267	TX

General Provider Information

NPI Number	:	1215076443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIRES HEALTHCARE GROUP, PC

Provider Business Mailing Address
First Line	:	4615 SOUTHWEST FWY STE 850
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7162
Country	:	US
Telephone Number	:	832-767-2280
Fax Number	:

Provider Business Practice Location Address
First Line	:	4615 SOUTHWEST FWY STE 850
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7162
Country	:	US
Telephone Number	:	832-767-2280
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARY ANN T. SPIRES
Credential	:	D.C.
Telephone Number	:	832-767-2280

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	09/06/2016

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