# NINH NEUROSPINE INSTITUTE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497088207
- **Authorized official:** DR. JIMMY V NINH MD (OWNER/PROVIDER)
- **Authorized official phone:** (281) 412-5544

## Contact information

- **Practice address:** 11711 SHADOW CREEK PKWY, STE 147, PEARLAND, TX 77584-7232
- **Practice address phone:** (832) 243-4969
- **Practice address fax:** (832) 598-2478
- **Mailing address:** 11711 SHADOW CREEK PKWY, STE 147, PEARLAND, TX 77584-7232
- **Mailing address phone:** (832) 243-4969
- **Mailing address fax:** (832) 598-2478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 9284 | TX | — |
| 111NR0400X | Rehabilitation Chiropractor | 9284 | TX | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | N2690 | TX | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | TX2690 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | N2690 | TX | — |

## Other

- **Enumeration date:** 09/10/2009
- **Last updated:** 09/04/2013