Texas Spine and Joint Hospital, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TEXAS SPINE AND JOINT HOSPITAL, LLC

Doing business as

Baylor Scott & White TX Spine & Joint Hosp Urgent Care

Practice address

8101 S Broadway Ave
Tyler, TX 75703-5469

Phone

(903) 939-0920

NPI assigned

Jan 23, 2017

Last updated

Oct 22, 2020By 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

Tony Wahl

Title

Officer / Authorized Official

Phone

(903) 525-3300

Specialties & licenses 1

Addresses

Other names 1

• Baylor Scott & White TX Spine & Joint Hosp Urgent Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Texas Spine and Joint Hospital LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Spine & Joint Hospital Longview Clinic

  • Clinic/Center
  • Longview, TX
  • NPI 1619274776
  NPD tax ID
• Texas Spine and Joint Hospital, LLC

  dba Baylor Scott & White Texas Spine & Joint Hospital

  • Urgent Care Clinic/Center
  • Palestine, TX
  • NPI 1033656574
  NPD tax ID

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1780121210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234",
            "telephone_number": "903-525-3330",
            "fax_number": "903-525-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035469",
            "telephone_number": "903-939-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE AND JOINT HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "903-525-3300"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White TX Spine & Joint Hosp Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Forward Visions, I. P.C.
• Texas Health Care Group of Longview, LLC (Tyler HomeCare)
• Texas Oncology, P.a.
• Texas Palliative Care
• Texas Physical Therapy Services of Tyler, LLC (Texas Physical Therapy Services of Tyler)
• Texas Spine and Joint Hospital, LLC (Baylor Scott & White TX Spine & Joint Hos Imaging Ctr)
• Hannah Thacker, MOT, OTR/L
• Sivagowri Tharmendira, MD
• The Bradley Clinic of Texas, PLLC
• The Breath Clinic LLC

• Urgent Care Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.