Provider Demographics
NPI:1942840921
Name:THE INTERVENTIONAL SPINE AND JOINT CENTER PLLC
Entity Type:Organization
Organization Name:THE INTERVENTIONAL SPINE AND JOINT CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMINENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-232-5673
Mailing Address - Street 1:800 PEAKWOOD DR STE 4F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2914
Mailing Address - Country:US
Mailing Address - Phone:832-232-5673
Mailing Address - Fax:281-583-4034
Practice Address - Street 1:800 PEAKWOOD DR STE 4F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2914
Practice Address - Country:US
Practice Address - Phone:832-232-5673
Practice Address - Fax:281-583-4034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty