Provider Demographics
NPI:1710917174
Name:TEXAS SPINE AND NEUROSURGERY CENTER, P.A.
Entity Type:Organization
Organization Name:TEXAS SPINE AND NEUROSURGERY CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-532-7366
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77001-0067
Mailing Address - Country:US
Mailing Address - Phone:281-313-0031
Mailing Address - Fax:281-313-0032
Practice Address - Street 1:16605 SOUTHWEST FWY
Practice Address - Street 2:SUITE 285
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3501
Practice Address - Country:US
Practice Address - Phone:281-313-0031
Practice Address - Fax:281-313-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0031JVOtherBCBSTX