Texas Spine and Sports Rehab Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10532 Issued in TX

Legal business name

TEXAS SPINE AND SPORTS REHAB CLINIC LLC

Practice address

305 FM 517 Rd E
Ste F
Dickinson, TX 77539

Phone

(832) 647-0761

Fax

(281) 282-9711

NPI assigned

May 4, 2007

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TEXAS SPINE AND SPORTS REHABAs reported in NPPES

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

Authorized official

Name

Alfredo J Vazquez, DCNPI 1124162276

Title

Owner Doctor

Phone

(832) 647-0761

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Texas Spine Sports Rehab C

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.

• Alfredo J Vazquez, DC

  • Chiropractor
  • League City, TX
  • NPI 1124162276
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1386856177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 GULF HWY 3",
            "address_2": "STE B #347",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "832-647-0761",
            "fax_number": "281-282-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FM 517 RD E",
            "address_2": "STE F",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "832-647-0761",
            "fax_number": "281-282-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE AND SPORTS REHAB CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS SPINE AND SPORTS REHAB",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "832-647-0761",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10532",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10532",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "10532",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "10532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anupama Tammareddi, MD
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• Joe Robert Taylor, M.D.
• Texas Best Eyecare (Complete Eyecare)
• Texas City Surgical PA
• Texas United Anesthesia PLLC
• Texas United Anesthesia PLLC
• The James Health Wellness & Training Services LLC
• Theresa a Rameden, MD, PA
• Carolyn Denice Thompson, APRN-CNP

• Chiropractor in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.