Texas Spine and Joint Hospital, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TEXAS SPINE AND JOINT HOSPITAL, LLC

Doing business as

Baylor Scott & White Texas Spine & Joint Hospital
Baylor Scott & White Texas Spine and Joint Hospital Urgent Care - Palestine

Practice address

2211 S Loop 256
Palestine, TX 75801-4701

Phone

(903) 729-0970

NPI assigned

Jan 23, 2017

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenetha D Moran

Title

Officer / Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Baylor Scott & White Texas Spine & Joint Hospital Doing business as
• Baylor Scott & White Texas Spine and Joint Hospital Urgent Care - Palestine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Texas Spine and Joint Hospital LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Spine & Joint Hospital Longview Clinic

  • Clinic/Center
  • Longview, TX
  • NPI 1619274776
  NPD tax ID
• Texas Spine and Joint Hospital, LLC

  dba Baylor Scott & White TX Spine & Joint Hosp Urgent Care

  • Urgent Care Clinic/Center
  • Tyler, TX
  • NPI 1780121210
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1033656574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234",
            "telephone_number": "903-525-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014701",
            "telephone_number": "903-729-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE AND JOINT HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162459501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Texas Spine & Joint Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Texas Spine & Joint Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Texas Spine and Joint Hospital Urgent Care - Palestine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas East Emergency Physicians PLLC
• Texas Em-I Medical Services PA
• Texas Specialty Physicians (Andre Thomas, MD Orthopaedics & Sports Medicine)
• Texas Specialty Physicians (Palestine Pediatrics)
• Texas Specialty Physicians (Palestine Medical Group: Behavioral Health)
• Tricia Thatcher, LMFT ASSOCIATE
• Andre Thomas, MD
• Natalie Christine Thomas, CCC/SLP
• David Thompson, M.D.
• Savannah Thompson

• Urgent Care Clinic/Center in Palestine, TX
• Providers in Palestine, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.