Accumed Medispa,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9209 Issued in TX

Legal business name

ACCUMED MEDISPA,LLC

Practice address

333 N Rivershire Dr Ste 290
Conroe, TX 77304-3100

Phone

(936) 441-1104

Fax

(936) 756-3360

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

MAGGIO INTERNATIONAL, INCAs reported in NPPES

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

Authorized official

Name

Michael David Maggio

Title

Ceo

Phone

(936) 441-1104

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1841489614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N RIVERSHIRE DR STE 290",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043100",
            "telephone_number": "936-441-1104",
            "fax_number": "936-756-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N RIVERSHIRE DR STE 290",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043100",
            "telephone_number": "936-441-1104",
            "fax_number": "936-756-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUMED MEDISPA,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGGIO INTERNATIONAL, INC",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MAGGIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-441-1104"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Conroe, TX
• Providers in Conroe, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.