Active NPI
South Texas Back Clinic Inc
- Chiropractor
- Laredo, TX
National Provider Identifier
1376835736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11212
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11212 | TX | Primary |
| Chiropractor | 111N00000X | 5449 | TX | |
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Dallas, TX
- NPI 1588775225
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
- Julia A Soto, ST
- Lizeth Alejandra Soto, CPHT
- South Laredo Family Clinic PA
- South Laredo Health Care Clinic
- South Laredo Imaging Center
- South Texas Bariatric and Metabolic Institute, PLLC
- South Texas Council on Alcohol and Drug Abuse
- South Texas Development Council
- South Texas Direct Kids LLC
- South Texas Direct Physical Therapy, LLC.
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.