Spine Orthopaedic & Pain Surgical Partners LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

M9835 Issued in TX

Legal business name

SPINE ORTHOPAEDIC & PAIN SURGICAL PARTNERS LLC

Practice address

15119 Wallisville Rd
#200
Houston, TX 77049-4630

Phone

(281) 984-8799

Fax

(832) 941-5533

NPI assigned

May 1, 2017

Last updated

May 1, 2017By 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

Ms. Lisa M Butcher

Title

Administrator

Phone

(281) 984-8799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1790210417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 WALLISVILLE RD",
            "address_2": "#200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494630",
            "telephone_number": "281-984-8799",
            "fax_number": "832-941-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15119 WALLISVILLE RD",
            "address_2": "#200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770494630",
            "telephone_number": "281-984-8799",
            "fax_number": "832-941-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ORTHOPAEDIC & PAIN SURGICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-984-8799",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M9835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spine Time Chiropractic, LLC
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• Orthopaedic Surgery of the Spine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.