Provider Demographics
NPI:1821418252
Name:HEALTHWORKS SPINE & SPORT, PLLC
Entity Type:Organization
Organization Name:HEALTHWORKS SPINE & SPORT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-286-2229
Mailing Address - Street 1:173 TOVREA RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2963
Mailing Address - Country:US
Mailing Address - Phone:281-286-2229
Mailing Address - Fax:281-727-0453
Practice Address - Street 1:900 APOLLO ST
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2671
Practice Address - Country:US
Practice Address - Phone:281-286-2229
Practice Address - Fax:281-727-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty