1740314780 NPI number — INNOVATIVE BACK CARE CENTER, LP

Table of content: (NPI 1740314780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740314780 NPI number — INNOVATIVE BACK CARE CENTER, LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INNOVATIVE BACK CARE CENTER, LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740314780
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
715 GARRETT WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77479-5086
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-565-1922
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6350 HIGHWAY 90A
Provider Second Line Business Practice Location Address:
SUITE 700
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77478-2021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-817-2113
Provider Business Practice Location Address Fax Number:
281-565-2463
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGER OF GENERAL PARTNER
Authorized Official Telephone Number:
713-817-2113

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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