Provider Demographics
NPI:1285791533
Name:SPIRES, MARY ANN T (DC)
Entity type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:T
Last Name:SPIRES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3168
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-3168
Mailing Address - Country:US
Mailing Address - Phone:137-775-2344
Mailing Address - Fax:
Practice Address - Street 1:1718 FRY RD STE 445
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5843
Practice Address - Country:US
Practice Address - Phone:281-697-5100
Practice Address - Fax:281-697-5101
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8267111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D8580Medicare ID - Type Unspecified