Organization Active NPI

Back Pain & Sciatica Center of Huntsville PLLC

  • Sports Medicine (Family Medicine) Physician
  • Huntsville, TX
National Provider Identifier
1306521257
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
BACK PAIN & SCIATICA CENTER OF HUNTSVILLE PLLC
Practice address
901 Normal Park Dr Ste 201
Huntsville, TX 77320-3729
Phone
(936) 291-2111
Fax
(936) 291-0665
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Harry EulittNPI 1487843389
Title
Owner
Phone
(936) 291-2111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

901 Normal Park Dr Ste 201
Huntsville, TX 77320-3729

Mailing address

901 Normal Park Dr Ste 201
Huntsville, TX 77320-3729
Phone (936) 291-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020000224 TX Part B Supplier - Clinic/Group Practice 0749636215 Receives reassigned benefits from 2 practitioners
Practice locations: Huntsville, TX

National Provider Directory

National Provider Directory

Locations

901 Normal Park Dr
Huntsville, TX 77320

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1306521257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR STE 201",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203729",
            "telephone_number": "936-291-2111",
            "fax_number": "936-291-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR STE 201",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203729",
            "telephone_number": "936-291-2111",
            "fax_number": "936-291-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN & SCIATICA CENTER OF HUNTSVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "EULITT",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-291-2111"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.