Origin Spine Institute LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ORIGIN SPINE INSTITUTE LLC

Practice address

9135 Katy Fwy Ste 300
Houston, TX 77024-1619

Phone

(832) 856-2988

Fax

(888) 597-0223

NPI assigned

Aug 13, 2020

Last updated

Nov 10, 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

Ali Mazloom

Title

Manager

Phone

(832) 856-2988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1093326969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 KATY FWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241619",
            "telephone_number": "832-655-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 KATY FWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241619",
            "telephone_number": "832-856-2988",
            "fax_number": "888-597-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "MAZLOOM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-856-2988"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Origin Diagnostics LLC
• Origin Diagnostics LLC
• Origin Imaging & Diagnostics LLC
• Origin Imaging & Diagnostics LLC
• Origin MRI and Diagnostics
• Origins CF, Inc (Origins One)
• Origins Hospice Inc
• Onyinye Oriji-Dor, LCSW
• Orion Ambulance Service LLC (Orion EMS)
• Orion ASC LLC

• Medical Specialty Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.