Provider Demographics
NPI:1245447788
Name:XIPHOID, PLLC
Entity type:Organization
Organization Name:XIPHOID, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPIES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-535-5673
Mailing Address - Street 1:212 GULF FWY S STE G1
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3957
Mailing Address - Country:US
Mailing Address - Phone:281-535-5673
Mailing Address - Fax:832-932-5490
Practice Address - Street 1:212 GULF FWY S STE G1
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3957
Practice Address - Country:US
Practice Address - Phone:281-535-5673
Practice Address - Fax:832-932-5490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208003801Medicaid
TX0034PSOtherBCBSTX
TX8AD330OtherBCBSTX