Spade Chriporactic Physical Medicine & Diagnostic Clinic

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SPADE CHRIPORACTIC PHYSICAL MEDICINE & DIAGNOSTIC CLINIC

Practice address

9207 Country Creek Dr
Suite 111
Houston, TX 77036-7714

Phone

(713) 777-1734

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Llord Obinna Nwosu

Title

Director

Phone

(713) 777-1734

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1447571344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 CLUB CREEK",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367745",
            "telephone_number": "713-777-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9207 COUNTRY CREEK DR",
            "address_2": "SUITE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367714",
            "telephone_number": "713-777-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADE CHRIPORACTIC PHYSICAL MEDICINE & DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "LLORD",
        "authorized_official_middle_name": "OBINNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-777-1734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Space City Senior Care, LLC
• Space City Smiles
• Space Therapy Gym LLC
• Spade Chiropractic LLC
• Spade Chiropractic Physical Medicine and Diagnostic Clinic
• Melissa Spadone
• Marcus Spady, MD, MS
• Alexandra Spagna, BCBA
• Carmen Nicole Spain, RN
• Kevin Spain, MAMFC

• Adult Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.