Innovative Neuro Spine Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8473 Issued in TX

Legal business name

INNOVATIVE NEURO SPINE INC

Doing business as

Neuro Spine Clinic

Practice address

9898 Bissonnet
# 152
Houston, TX 77036-8025

Phone

(713) 271-7373

Fax

(713) 271-2219

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mahmood Prushesh, DC

Title

Doctor

Phone

(713) 271-7373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neuro Spine Clinic Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles C Cherry, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1841835055
  NPD (past)
• Guowei Lin, DC

  • Chiropractor
  • Houston, TX
  • NPI 1588531917
  NPD (past)
• Mahmood Poushesh, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1659515807
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053451864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET",
            "address_2": "# 152",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368025",
            "telephone_number": "713-271-7373",
            "fax_number": "713-271-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET",
            "address_2": "# 152",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368025",
            "telephone_number": "713-271-7373",
            "fax_number": "713-271-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE NEURO SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUSHESH",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "713-271-7373",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "831282",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovative Counseling Options of Houston PLLC
• Innovative Health & Wellness LLC Houston Series
• Innovative Health Professionals PLLC
• Innovative Home Health LLC
• Innovative Medical Assessments
• Innovative Neuromonitoring, LP
• Innovative Pain Consultants LLP
• Innovative Primary Care PLLC
• Innovative Prodigy'S, LLC
• Innovative R P Inc

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.