Provider Demographics
NPI:1215076443
Name:SPIRES HEALTHCARE GROUP, PC
Entity type:Organization
Organization Name:SPIRES HEALTHCARE GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPIRES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-767-2280
Mailing Address - Street 1:4615 SOUTHWEST FWY STE 850
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7162
Mailing Address - Country:US
Mailing Address - Phone:832-767-2280
Mailing Address - Fax:
Practice Address - Street 1:4615 SOUTHWEST FWY STE 850
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7162
Practice Address - Country:US
Practice Address - Phone:832-767-2280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D8580Medicare ID - Type Unspecified