Spine Institute of Southeast Texas

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SPINE INSTITUTE OF SOUTHEAST TEXAS

Doing business as

Spine Institute of Southeast Texas

Practice address

12234 Shadow Creek Pkwy Ste 100
Pearland, TX 77584-7330

Phone

(713) 987-7760

Fax

(832) 288-5837

NPI assigned

Oct 13, 2017

Last updated

Sep 16, 2025By 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

Ashley L Small

Title

Practice Manager

Phone

(713) 987-7760

Specialties & licenses 1

Addresses

Other names 1

• Spine Institute of Southeast Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Aryana Mariely Ibarra, PA

  • Physician Assistant
  • Pearland, TX
  • NPI 1952039257
  Medicare reassignment Care Compare group NPD
• Thomas Louis Jones II, MD

  • Orthopaedic Surgery of the Spine Physician
  • Pearland, TX
  • NPI 1548457591
  Medicare reassignment Care Compare group NPD
• Beverly Oguayo, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1609430412
  Medicare reassignment NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1649781907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-987-7760",
            "fax_number": "832-288-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-987-7760",
            "fax_number": "832-288-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "713-987-7760"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Institute of Southeast Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyana Speed
• Britny Rae Spencer, MA, BCBA, LBA
• Chelsea Spencer
• Laquarain Spencer
• Sphinx Pharmacy Group Webster Inc (Pyramids Infusion Center)
• Spine Team Houston
• Devin Shane Spinks, D.D.S.
• Tiffany Spinos
• Peggy D Spivey
• Ronita Lacole Spotsville

• Medical Specialty Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.