Provider Demographics
NPI:1437846086
Name:ISP HEALTH PLLC
Entity Type:Organization
Organization Name:ISP HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SPIEGEL
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:214-888-3883
Mailing Address - Street 1:8222 DOUGLAS AVE STE 890
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5939
Mailing Address - Country:US
Mailing Address - Phone:214-888-3883
Mailing Address - Fax:972-677-7790
Practice Address - Street 1:8222 DOUGLAS AVE STE 890
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5939
Practice Address - Country:US
Practice Address - Phone:214-888-3883
Practice Address - Fax:972-677-7790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty