TEXAS SPINE & REHAB CENTER (NPI# 1922279702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922279702 |
| Entity Type | Organization |
| Organization Name | TEXAS SPINE & REHAB CENTER |
| Practice Address |
2560 State Highway 361 Ingleside TX 78362-4110 |
| Practice Telephone | 3617760030 |
| Practice Fax Number | 3617760731 |
| Mailing Telephone | 3617760030 |
| Mailing Fax Number | 3617760731 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. DWAYNE A KUBECKA (OWNER) |
| Authorized Official Telephone | 3617760030 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 6561 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8AJ308 | 01 |
| Street Address |
2560 STATE HIGHWAY 361 |
| City | INGLESIDE |
| State | TX |
| Zip Code | 78362-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488535 | Elizabeth Elmore | Physical Therapy Assistant | 2246 Sunset Cliffs Dr, Ingleside, TX 78362 | 2017-06-29 |
| 1699910414 | Benjamin Noel Paloy Carrido | Military Health Care Provider | 2969 Atlantic Blvd Apt 115, Ingleside, TX 78362 | 2008-12-08 |
| 1356438295 | Mayfield Chiropractic | Chiropractor | 2168 Hwy 361, Ingleside, TX 78362 | 2006-10-10 |
| 1881796274 | Stanley Dee Seymour | Chiropractor | 2681 State Hwy 361, Ingleside, TX 78362 | 2006-09-05 |
| 1306809967 | Douglas Neil Holleman Sr. | Military Health Care Provider | Mhc Crew Inflict, Naval Station Ingleside, Ingleside, TX 78362 | 2006-04-06 |
| 1619944642 | Damian J Lovello | Military Health Care Provider | 1632 Ticonderoga St, Uss Heron Mhc 52, Ingleside, TX 78362 | 2006-03-08 |
| 1720056609 | Rudy Wilbert Arocha | Military Health Care Provider | Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 | 2006-03-08 |
| 1518479930 | Candice Nicole Miller | Nurse Practitioner | 2713 S Main St, Ingleside, TX 78362 | 2017-10-25 |
| 1609043777 | Jason Paul Fechner | Military Health Care Provider | 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 | 2008-05-08 |
| 1487843975 | Wellmed Medical Group Pa | Clinic/Center | 2713 Main St, Ingleside, TX 78362 | 2007-10-19 |
| Find all providers in zip 78362 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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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.