Greater Houston Spine, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GREATER HOUSTON SPINE, LLC

Practice address

38 Lake Sterling Gate Dr
Spring, TX 77379-7204

Phone

(281) 324-5660

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Shah Siddiqi

Title

Owner

Phone

(281) 324-5660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1811339781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAKE STERLING GATE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAKE STERLING GATE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797204",
            "telephone_number": "281-324-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HOUSTON SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "SHAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-324-5660"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Spring, TX
• Providers in Spring, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.