Spine Care Institute Clear Lake in League City - Rehabilitation
Spine Care Institute Clear Lake - NPI 1104967264
Spine Care Institute Clear Lake is a Rehabilitation in League City, Texas. Spine Care Institute Clear Lake practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Spine Care Institute Clear Lake is 1104967264. The last update date is 2008-01-05.
Spine Care Institute Clear Lake's current location address is 2047 W Main St, League City, Texas. You can contact this provider via phone number 2813329631 and fax number 2813328192. The mailing address for Spine Care Institute Clear Lake is 2047 W Main St, League City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spine Care Institute Clear Lake |
|---|---|
| Address | 2047 W Main St, League City, Texas |
| Phone Number | 2813329631 |
| Fax Number | 2813328192 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hodges Paul John |
| Credentials | D.C. |
| Telephone Number | 2813329631 |
NPI Number Detail
| NPI Number | 1104967264 |
|---|---|
| Provider Enumeration Date | 2007-02-10 |
| Last Updated Date | 2008-01-05 |
Provider Mailing Address Detail
| Address | 2047 W Main St |
|---|---|
| City | League City |
| State | Texas (TX) |
| Post Code | 775733579 |
| Phone Number | 2813329631 |
| Fax Number | 2813328192 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | 4141 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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What is the unique 10-digit identifier code issued to Spine Care Institute Clear Lake by the Centers for Medicare & Medicaid Services?
The Spine Care Institute Clear Lake has been assigned the NPI (National Provider Identifier) 1104967264 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Spine Care Institute Clear Lake's facilities are geographically located?
The facilities of Spine Care Institute Clear Lake are physically situated at the following location: 2047 W Main St, League City, TX, 775733579.
What is Spine Care Institute Clear Lake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Spine Care Institute Clear Lake's area of specialization is Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 111Nr0400X.
On what date did the Spine Care Institute Clear Lake receive the assignment of its 1104967264 from the Centers for Medicare & Medicaid Services?
The Spine Care Institute Clear Lake was issued its 1104967264 by the Centers for Medicare & Medicaid Services on 2007-02-10.
When was the Spine Care Institute Clear Lake's information last updated?
The Spine Care Institute Clear Lake's information was last updated on 2008-01-05.