Provider Demographics
NPI:1326364241
Name:SPINE GROUP OF TEXAS, PA
Entity type:Organization
Organization Name:SPINE GROUP OF TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-594-4623
Mailing Address - Street 1:530 WELLS FARGO DR
Mailing Address - Street 2:STE 112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-4044
Mailing Address - Country:US
Mailing Address - Phone:281-440-3500
Mailing Address - Fax:
Practice Address - Street 1:530 WELLS FARGO DR
Practice Address - Street 2:STE 112
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-4044
Practice Address - Country:US
Practice Address - Phone:281-440-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty