Medina Chiropractic Sports and Spine, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11837 Issued in TX

Legal business name

MEDINA CHIROPRACTIC SPORTS AND SPINE, PLLC

Practice address

4724 Sweetwater Blvd
Suite 102
Sugar Land, TX 77479-3149

Phone

(956) 457-0941

NPI assigned

Feb 15, 2016

Last updated

Feb 15, 2016By 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

Dr. Alvaro Abdiel Medina, DCNPI 1306108261

Title

Doctor of Chiropractic

Phone

(956) 457-0941

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Alvaro Abdiel Medina, D.C.

  • Chiropractor
  • Sugar Land, TX
  • NPI 1306108261
  NPD (past) Authorized official

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1316306715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20607 DELTA LAKE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061987",
            "telephone_number": "956-457-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD",
            "address_2": "SUITE 102",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793149",
            "telephone_number": "956-457-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA CHIROPRACTIC SPORTS AND SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_middle_name": "ABDIEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "956-457-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Health Lab Texas Inc (MHL TX)
• Medical Rescue Relief
• Medicao Rehab, PLLC
• Medici Pharmacy LLC (Medici Pharmacy)
• Medicircle Inc. (MediCircle)
• Alvaro Abdiel Medina, D.C.
• Shannon Medina, LAT
• Medinet Clinic PA
• Medinova, Inc. (Sugar Land Medical Supply)
• Medinurse Inc

• Chiropractor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.