Provider Demographics
NPI:1629279039
Name:SPINAL CENTERS OF TEXAS,INC.
Entity Type:Organization
Organization Name:SPINAL CENTERS OF TEXAS,INC.
Other - Org Name:SPINAL CENTERS OF TEXAS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-493-2535
Mailing Address - Street 1:1145 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1021
Mailing Address - Country:US
Mailing Address - Phone:281-493-2535
Mailing Address - Fax:281-493-1855
Practice Address - Street 1:1145 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1021
Practice Address - Country:US
Practice Address - Phone:281-493-2535
Practice Address - Fax:281-493-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U15BMedicare PIN