Provider Demographics
NPI:1215709910
Name:ALTUS SPINE AND JOINT PAIN CARE PLLC
Entity type:Organization
Organization Name:ALTUS SPINE AND JOINT PAIN CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-449-1029
Mailing Address - Street 1:2608 ARROYO AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6364
Mailing Address - Country:US
Mailing Address - Phone:210-449-1029
Mailing Address - Fax:
Practice Address - Street 1:1108 E KIKA DE LA GARZA ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-4256
Practice Address - Country:US
Practice Address - Phone:210-449-1029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain