Texas Spine and Sports Institute PLLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

TEXAS SPINE AND SPORTS INSTITUTE PLLC

Practice address

811 Central Dr
Odessa, TX 79761-4201

Phone

(850) 449-2290

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Lynn Reece

Title

Director of Business Relations

Phone

(850) 449-2290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1831704766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CENTRAL DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614201",
            "telephone_number": "850-449-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CENTRAL DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614201",
            "telephone_number": "850-449-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SPINE AND SPORTS INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS RELATIONS",
        "authorized_official_telephone_number": "850-449-2290"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Odessa, TX
• Providers in Odessa, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.