Provider Demographics
NPI:1730458043
Name:FLOOD SPINE CLINIC PA
Entity Type:Organization
Organization Name:FLOOD SPINE CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-965-4748
Mailing Address - Street 1:16929 SOUTHWEST FWY
Mailing Address - Street 2:STE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3495
Mailing Address - Country:US
Mailing Address - Phone:281-344-2034
Mailing Address - Fax:281-344-2066
Practice Address - Street 1:16929 SOUTHWEST FWY
Practice Address - Street 2:STE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3495
Practice Address - Country:US
Practice Address - Phone:281-344-2034
Practice Address - Fax:281-344-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8290111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty