Gulf Coast Spine Specialties

Primary specialty

SpecialistTaxonomy code 174400000X

License

H7865 Issued in TX

Legal business name

GULF COAST SPINE SPECIALTIES

Practice address

4120 Southwest Fwy
200
Houston, TX 77027-7339

Phone

(713) 796-3209

Fax

(713) 583-1841

NPI assigned

Jan 22, 2015

Organization subpart

Yes

Parent organization

HOUSTON TEXAS PAIN MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Kenneth Alo

Title

Physician

Phone

(713) 796-3209

Specialties & licenses 1

Addresses

Part of

Houston Texas Pain Management

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Houston Texas Pain Management

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1265629265
  NPPES parent name

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1275922668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-796-3209",
            "fax_number": "713-583-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-796-3209",
            "fax_number": "713-583-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SPINE SPECIALTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON TEXAS PAIN MANAGEMENT",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "ALO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-796-3209"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Professional Medical Services, PLLC
• Gulf Coast Radiology Limited
• Gulf Coast Specialty Providers, PLLC
• Gulf Coast Spine & Neurosurgery PLLC
• Gulf Coast Spine Care LTD., PA
• Gulf Coast Therapy Houston LLC
• Gulf Coast Urgent Care
• Gulf Coast Urology P.a.
• Gulf Coast Vision Center, Inc.
• Gulf Coast Visiting Physicians PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.