Organization Active NPI

South Texas Back Clinic Inc

  • Chiropractor
  • Laredo, TX
National Provider Identifier
1376835736
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11212 Issued in TX
Legal business name
SOUTH TEXAS BACK CLINIC INC
Practice address
9114 McPherson Road
Suite 2505
Laredo, TX 78045-6511
Phone
(956) 726-9886
Fax
(956) 722-1590
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mr. F Quinn Lewis
Title
Manager/Ceo
Phone
(325) 513-1703

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 11212 TX Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5449 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F0914439 TX

Addresses

Primary practice location

9114 McPherson Road
Suite 2505
Laredo, TX 78045-6511

Mailing address

9114 McPherson Road
Suite 2505
Laredo, TX 78045-6511
Phone (956) 726-9886

Other names 1

  • South Texas Spine & Rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1376835736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 MCPHERSON ROAD",
            "address_2": "SUITE 2505",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456511",
            "telephone_number": "956-726-9886",
            "fax_number": "956-722-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 MCPHERSON ROAD",
            "address_2": "SUITE 2505",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456511",
            "telephone_number": "956-726-9886",
            "fax_number": "956-722-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS BACK CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "QUINN",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "325-513-1703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11212",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0914439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.