Dr. Maxwell S. Adu-Lartey PA

Organization Active NPI Orthopaedic Surgery of the Spine Physician · Katy, TX

NPI 1982006508 · NPPES record last updated Oct 16, 2014

Key facts

NPI
1982006508
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery of the Spine Physician 207XS0117X
License
P2409 (TX)
Legal business name
DR. MAXWELL S. ADU-LARTEY PA
Practice address
705 S Fry Rd
Suite 215
Katy, TX 77450-2251
Phone
(832) 321-4076
Fax
(832) 321-4080
NPI assigned
Sep 26, 2014
Organization subpart
No

Authorized official

Name
Dr. Samuel Maxwell Adu-Lartey, D.O NPI 1801096987
Title
President
Phone
(832) 321-4076

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Chase Houston Hospital LP
Houston, TX · CCN 670135
Hospital Limited Partnership Interest (1.08%) Nov 8, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150508001467 TX Part B Supplier - Clinic/Group Practice 0840519054 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

Locations

705 S Fry Rd
Ste 215
Katy, TX 77450
Phone (281) 579-0186

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207XS0117X P2409 TX Yes

Addresses

Primary practice location

705 S Fry Rd
Suite 215
Katy, TX 77450-2251

Mailing address

705 S Fry Rd
Suite 215
Katy, TX 77450-2251
Phone (832) 321-4076

Other names

  • Houston Spine Institute Doing business as

Other providers in Katy, TX

All providers in Katy, TX · Orthopaedic Surgery of the Spine Physician in Texas

Sources for this page

Verify at the official NPI Registry.