SOUTHEAST SPINE AND REHAB (NPI# 1679104939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679104939 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST SPINE AND REHAB |
| Practice Address |
8470 Gulf Fwy Ste G Houston TX 77017-5026 |
| Practice Telephone | 7136453536 |
| Practice Fax Number | 7136453940 |
| Mailing Telephone | 7136453536 |
| Mailing Fax Number | 7136453940 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | RACHAEL HENDRIKZ (OPERATIONS MANAGER) |
| Authorized Official Telephone | 7136453536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 Southwest Fwy Ste 190, Houston, TX 770741517 | 7137724445 |
| Street Address |
8470 GULF FWY STE G |
| City | HOUSTON |
| State | TX |
| Zip Code | 77017-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347991 | Michael Shackelford | Technician | 4007 Meridian, Houston, TX 77017 | 2019-10-10 |
| 1528478039 | Gulf Coast Opportunity Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4115 Galveston Road, Houston, TX 77017 | 2014-05-06 |
| 1871926428 | Children 1st Houston South, LLC | Clinic/Center | 8545 Gulf Fwy, Houston, TX 77017 | 2013-08-19 |
| 1609219146 | Harmony Group, LLC | Community/Behavioral Health | 8485 Gulf Fwy Ste A, Houston, TX 77017 | 2013-04-15 |
| 1407102833 | Abby Medical Supply | Durable Medical Equipment & Medical Supplies | 8503 Gulf Freeway, F, Houston, TX 77017 | 2012-08-03 |
| 1568605848 | Atlantic Avenue, LLC | Home Health | 7925 Grafton Street, Houston, TX 77017 | 2009-04-15 |
| 1447404975 | Joseph Sleiman, Md Pa | Family Medicine | 8221 Gulf Freeway, Suite 400, Houston, TX 77017 | 2008-11-11 |
| 1659535938 | Mark E. Caranto,dds,pa | Dentist | 8221 Gulf Freeway Suite 300, Houston, TX 77017 | 2008-07-15 |
| 1184709289 | Nedith Casquete | Dentist | 3201 Broadway St, Houston, TX 77017 | 2006-10-26 |
| 1275542250 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 8505 Gulf Freeway, Suite F, Houston, TX 77017 | 2006-08-07 |
| Find all providers in zip 77017 | ||||
| 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 |
|---|---|---|---|---|
| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1023615408 | Alma Therapeutic LLC | Chiropractor | 6201 Bonhomme Rd Ste 340n, Houston, TX 77036-4430 | 2020-10-08 |
| 1306453402 | Kayla Shea Day | Chiropractor | 1 City Club Dr, Houston, TX 77046-4602 | 2020-09-23 |
| 1255946059 | All Health Medical & Rehab, Pllc | Chiropractor | 6831 Navigation Blvd, Houston, TX 77011-1452 | 2020-09-09 |
| 1114545266 | Peak Potential Houston Heights LLC | Chiropractor | 6212 N Main St Ste C, Houston, TX 77009-2496 | 2020-07-06 |
| 1770108326 | Alicia Danielle Burns | Chiropractor | 1120 Nasa Pkwy Ste 324, Houston, TX 77058-3366 | 2020-06-09 |
| 1417577065 | Bryan David Valdez | Chiropractor | 8151 Silent Cedars Dr, Houston, TX 77095-1814 | 2020-04-23 |
| 1346878329 | Tanya N Young | Chiropractor | 2120 Capitol St Apt 3407, Houston, TX 77003-3146 | 2020-03-27 |
| 1336774736 | Hinal Patel | Chiropractor | 13040 Fm 529 Rd. Ste. G, Houston, TX 77041 | 2020-03-05 |
| 1568097020 | Abraham Angel Gutierrez Jr. | Chiropractor | 1533 N Shepherd Dr # 240, Houston, TX 77008-3755 | 2020-03-05 |
| Find all providers in HOUSTON | ||||
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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.