NPIMap

Organization Active NPI

South Texas Spine Group PC

  • Family Nurse Practitioner
  • Olmito, TX
National Provider Identifier
1982927265
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
776890 Issued in TX
Legal business name
SOUTH TEXAS SPINE GROUP PC
Practice address
7097 N Expy 77
Ste 5
Olmito, TX 78575-9807
Phone
(956) 518-7305
Fax
(956) 518-7307
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Mark W Bailey, FNP, DC
Title
Owner
Phone
(956) 244-4041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 6041 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 776890 TX Primary

Addresses

Primary practice location

7097 N Expy 77
Ste 5
Olmito, TX 78575-9807

Mailing address

7097 N Expy 77
Ste 5
Olmito, TX 78575-9807
Phone (956) 518-7305

Other names 1

  • A TO Z MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

7097 N Expressway 77
Ste 5
Olmito, TX 78575
Phone (956) 518-7305

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1982927265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7097 N EXPY 77",
            "address_2": "STE 5",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759807",
            "telephone_number": "956-518-7305",
            "fax_number": "956-518-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7097 N EXPY 77",
            "address_2": "STE 5",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759807",
            "telephone_number": "956-518-7305",
            "fax_number": "956-518-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS SPINE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-244-4041",
        "authorized_official_credential": "FNP, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "776890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A TO Z MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olmito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.