Interventional Spine of Texas, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

N3819 Issued in TX

Legal business name

INTERVENTIONAL SPINE OF TEXAS, PLLC

Practice address

6225 FM 2920 Rd
Suite 203
Spring, TX 77379-3474

Phone

(832) 843-7444

Fax

(832) 592-9254

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Kenneth L Le, M.D.

Title

Owner

Phone

(832) 843-7444

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1285065920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 FM 2920 RD",
            "address_2": "SUITE 203",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793474",
            "telephone_number": "832-843-7444",
            "fax_number": "832-592-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 FM 2920 RD",
            "address_2": "SUITE 203",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793474",
            "telephone_number": "832-843-7444",
            "fax_number": "832-592-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-843-7444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "N3819",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "P2477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Spring, TX
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• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.