Organization · Type 2 NPI

Innovative Spine Center, PLLC

Ambulatory Surgical Clinic/Center · Houston, TX

NPI number 1750511069 Active

Practice location

10005 S Main St
Houston, TX 77025-5209

Fax (713) 532-7399

Mailing address

PO Box 202575
Dallas, TX 75320-2575

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X008568 (TX)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1750511069

Innovative Spine Center, PLLC's National Provider Identifier is 1750511069, issued on Jul 21, 2009. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Houston, TX. The record was last updated on Jul 21, 2009.