Provider Demographics
NPI:1285999417
Name:GREENSPOINT HEALTH & INJURY CENTER
Entity type:Organization
Organization Name:GREENSPOINT HEALTH & INJURY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-403-2222
Mailing Address - Street 1:256 N SAM HOUSTON PKWY E STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-2006
Mailing Address - Country:US
Mailing Address - Phone:832-403-2222
Mailing Address - Fax:
Practice Address - Street 1:256 N SAM HOUSTON PKWY E STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-2006
Practice Address - Country:US
Practice Address - Phone:832-403-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN11392261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy