Provider Demographics
NPI:1922765973
Name:SPANVERDURE ORTHOPAEDIC PLLC
Entity Type:Organization
Organization Name:SPANVERDURE ORTHOPAEDIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:OZOUDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-464-9135
Mailing Address - Street 1:440 LOUISIANA ST STE 952
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-1639
Mailing Address - Country:US
Mailing Address - Phone:979-464-9135
Mailing Address - Fax:
Practice Address - Street 1:1485 FM 1960 BYPASS RD E STE 260
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3965
Practice Address - Country:US
Practice Address - Phone:979-464-9135
Practice Address - Fax:979-464-9135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty