Provider Demographics
NPI:1437489515
Name:NYLA ENTERPRISES INC
Entity Type:Organization
Organization Name:NYLA ENTERPRISES INC
Other - Org Name:SPINE SPECIALISTS DECOMPRESSION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-665-2225
Mailing Address - Street 1:5420 DASHWOOD DR STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5332
Mailing Address - Country:US
Mailing Address - Phone:713-665-2225
Mailing Address - Fax:713-665-2232
Practice Address - Street 1:5420 DASHWOOD DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081
Practice Address - Country:US
Practice Address - Phone:713-665-6652
Practice Address - Fax:713-665-2232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty