Provider Demographics
NPI:1497164990
Name:NEXT GENERATION ORTHOPEDIC & SPINE INSTITUTE, PLLC
Entity Type:Organization
Organization Name:NEXT GENERATION ORTHOPEDIC & SPINE INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-236-8512
Mailing Address - Street 1:4414 CENTERVIEW
Mailing Address - Street 2:120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1418
Mailing Address - Country:US
Mailing Address - Phone:210-236-8512
Mailing Address - Fax:210-236-8564
Practice Address - Street 1:1626 LOCKHILL SELMA RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1929
Practice Address - Country:US
Practice Address - Phone:210-236-8512
Practice Address - Fax:210-236-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6882174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty