Provider Demographics
NPI:1063138469
Name:HEALTH ALAST SPRING , PLLC
Entity type:Organization
Organization Name:HEALTH ALAST SPRING , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHBUDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNESARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-868-1817
Mailing Address - Street 1:6620 CYPRESSWOOD DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7748
Mailing Address - Country:US
Mailing Address - Phone:281-376-2225
Mailing Address - Fax:
Practice Address - Street 1:6620 CYPRESSWOOD DR STE 110
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7748
Practice Address - Country:US
Practice Address - Phone:281-376-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty