Provider Demographics
NPI:1275723553
Name:SPINAL BIOMECHANICS CHIROPRACTIC & RESEARCH CENTER, P.C.
Entity Type:Organization
Organization Name:SPINAL BIOMECHANICS CHIROPRACTIC & RESEARCH CENTER, P.C.
Other - Org Name:THE BACK INSTITUTE OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-469-2225
Mailing Address - Street 1:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77492-0229
Mailing Address - Country:US
Mailing Address - Phone:281-469-2225
Mailing Address - Fax:713-784-5364
Practice Address - Street 1:11811 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1974
Practice Address - Country:US
Practice Address - Phone:281-469-2225
Practice Address - Fax:713-784-5364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13602Medicare UPIN