Willowbrook Spine Center, P.a.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

M0921 Issued in TX

Legal business name

WILLOWBROOK SPINE CENTER, P.A.

Doing business as

The Spine Center

Practice address

9400 Westheimer Rd
Suite 2
Houston, TX 77063-3414

Phone

(281) 292-1121

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Saqib Siddiqui, M.D.

Title

President

Phone

(832) 547-0927

Specialties & licenses 1

Addresses

Other names 1

• The Spine Center Doing business as

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1235533886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 WESTHEIMER RD",
            "address_2": "SUITE 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 WESTHEIMER RD",
            "address_2": "SUITE 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633414",
            "telephone_number": "281-292-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK SPINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-547-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M0921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willowbrook Mall Dental
• Willowbrook MRI
• Willowbrook Procedure Centers, LP
• Willowbrook Psychological Associates, PC
• Willowbrook SNF Management LLC
• Willowbrook Surgery Center LTD
• Willowbrook Tso PC
• Willowchase Medical PLLC
• Willowplace Star Dental
• Temica Latrice Willrich, CPHT

• Orthopaedic Surgery of the Spine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.