SOUTH TEXAS BACK CLINIC INC (NPI# 1376835736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376835736 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS BACK CLINIC INC |
| Other Organization Name | SOUTH TEXAS SPINE & REHAB |
| Practice Address |
9114 Mcpherson Road Suite 2505 Laredo TX 78045-6511 |
| Practice Telephone | 9567269886 |
| Practice Fax Number | 9567221590 |
| Mailing Telephone | 9567269886 |
| Mailing Fax Number | 9567221590 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | MR. F QUINN LEWIS (MANAGER/CEO) |
| Authorized Official Telephone | 3255131703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 5449 | TX | Chiropractic Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0914439 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 111N00000X | Chiropractor | 11212 | TX | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| South Texas Spine & Rehab | Doing Business As Name - Organization |
| Street Address |
9114 MCPHERSON ROAD SUITE 2505 |
| City | LAREDO |
| State | TX |
| Zip Code | 78045-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592367 | Karlo Luebbert | Licensed Vocational Nurse | 302 Shiloh Dr, Apt 301 E, Laredo, TX 78045 | 2020-06-09 |
| 1093330607 | Paloma Blanca Provider Services, LLC | Technician | 1101 Shiloh Drive, # 3, Laredo, TX 78045 | 2020-06-09 |
| 1558829630 | Sylvia R. Lozano | Home Health | 1101 Shiloh Dr. #3, Laredo, TX 78045 | 2019-03-07 |
| 1275014565 | Trinity Center Open Mri | Clinic/Center | 1110 Marshall Street, Laredo, TX 78045 | 2018-08-24 |
| 1992204721 | Juanita Yvette Garcia | In Home Supportive Care | 1914 Port Edward Dr, Laredo, TX 78045 | 2018-02-07 |
| 1699297895 | Alpha Primary Care, LLC | Technician | 624 Forest Loop, Laredo, TX 78045 | 2017-07-10 |
| 1689073025 | Laredo Emergency Center LLC | Clinic/Center | 2502 Ne Bob Bullock Loop, Laredo, TX 78045 | 2014-08-21 |
| 1235566993 | Dermatology Medical Center of South Texas, Pa | Specialist | 2344 Laguna Del Mar Ct Ste 101, Laredo, TX 78045 | 2013-09-26 |
| 1225304173 | Mario Trevino | Community/Behavioral Health | 9002 Snowfalls Dr, Laredo, TX 78045 | 2012-03-26 |
| 1497043368 | Velma Claudia Quintana | Counselor | 511 Cambridge Lp, Laredo, TX 78045 | 2011-07-13 |
| Find all providers in zip 78045 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857748 | Gibson Chiropractic, Pllc | Chiropractor | 2315 E Saunders St # 2, Laredo, TX 78041-5434 | 2016-04-28 |
| 1861784233 | Renovar Health Services | Chiropractor | 9114 Mcpherson, Suite 2505, Laredo, TX 78045 | 2011-05-04 |
| 1740459296 | Hillside Spine and Rehab, Inc | Chiropractor | 201 W Hillside Rd Ste 26, Laredo, TX 78041-3197 | 2008-02-28 |
| 1760669840 | James Stephenson | Chiropractor | 7807 Mcpherson Rd, Ste. 2e, Laredo, TX 78045-2801 | 2008-01-30 |
| 1891982971 | Garardo Alfonso Vergara | Chiropractor | 6423 Mcpherson Rd Ste 9, Laredo, TX 78041-6144 | 2007-10-02 |
| 1871798645 | American Healthchoice | Chiropractor | 118 W Village Blvd, Laredo, TX 78041-2259 | 2007-06-20 |
| 1679776173 | Adam Leon Mecham | Chiropractor | 6423 Mcpherson Rd, Suite 9, Laredo, TX 78041-6179 | 2007-06-11 |
| 1053440727 | Michael Scott Setliff | Chiropractor | 2401 N Arkansas Ave, Laredo, TX 78043-2233 | 2007-03-05 |
| 1730267261 | Victor Manuel Trevino Ix | Chiropractor | 418 Corpus Christi St, Laredo, TX 78040-8474 | 2006-11-01 |
| 1316057896 | David Layne Gibson | Chiropractor | 2315 E. Saunders, Plaza Two, Laredo, TX 78043 | 2006-08-30 |
| Find all providers in LAREDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.