# SPINE INSTITUTE OF SOUTHEAST TEXAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spine Institute of Southeast Texas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649781907
- **Authorized official:** ASHLEY L SMALL (PRACTICE MANAGER)
- **Authorized official phone:** (713) 987-7760

## Contact information

- **Practice address:** 12234 SHADOW CREEK PKWY STE 100, PEARLAND, TX 77584-7330
- **Practice address phone:** (713) 987-7760
- **Practice address fax:** (832) 288-5837
- **Mailing address:** 12234 SHADOW CREEK PKWY STE 100, PEARLAND, TX 77584-7330
- **Mailing address phone:** (713) 987-7760
- **Mailing address fax:** (832) 288-5837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2017
- **Last updated:** 09/16/2025