Organization
INNOVATIVE NEURO SPINE INC
Active
Other names
Neuro Spine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOOD PRUSHESH DC (DOCTOR)
(713) 271-7373
Entity
Organization
Contact information
Practice address
9898 BISSONNET, # 152, HOUSTON, TX 77036-8025
(713) 271-7373
(713) 271-2219
Mailing address
9898 BISSONNET, # 152, HOUSTON, TX 77036-8025
(713) 271-7373
(713) 271-2219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831282
BCBS
TX
Enumeration date
02/08/2007
Last updated
08/22/2020
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