Provider Demographics
NPI:1982006508
Name:DR. MAXWELL S. ADU-LARTEY PA
Entity Type:Organization
Organization Name:DR. MAXWELL S. ADU-LARTEY PA
Other - Org Name:HOUSTON SPINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:MAXWELL
Authorized Official - Last Name:ADU-LARTEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:832-321-4076
Mailing Address - Street 1:705 S FRY RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2251
Mailing Address - Country:US
Mailing Address - Phone:832-321-4076
Mailing Address - Fax:832-321-4080
Practice Address - Street 1:705 S FRY RD
Practice Address - Street 2:SUITE 215
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2251
Practice Address - Country:US
Practice Address - Phone:832-321-4076
Practice Address - Fax:832-321-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2409207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty