Innovative Back Care Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INNOVATIVE BACK CARE CENTER, LP

Practice address

6350 Highway 90a
Suite 700
Sugar Land, TX 77478-2021

Phone

(713) 817-2113

Fax

(281) 565-2463

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy J Brown, R.N.

Title

Manager of General Partner

Phone

(713) 817-2113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 45C0001483

Legal name

INNOVATIVE BACK CARE CENTER, LP

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 28, 2008

Last certification

May 10, 2017

Ownership / control type

Proprietary

Facility address

6350 Highway 90 a, Suite 700
Sugar Land, TX 77478

Practitioners 1

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

• Cathryn J Brown, AGPCNP-BC

  • Pain Management Registered Nurse
  • Katy, TX
  • NPI 1821431867
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740314780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 GARRETT WAY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795086",
            "telephone_number": "281-565-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 HIGHWAY 90A",
            "address_2": "SUITE 700",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782021",
            "telephone_number": "713-817-2113",
            "fax_number": "281-565-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BACK CARE CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER OF GENERAL PARTNER",
        "authorized_official_telephone_number": "713-817-2113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.