Organization
GREGORY ELDERS SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J ELDERS M.D. (OWNER)
(832) 403-3116
Entity
Organization
Contact information
Practice address
10857 KUYKENDAHL RD STE 120, THE WOODLANDS, TX 77382-2937
(832) 403-3116
(936) 231-8746
Mailing address
10857 KUYKENDAHL RD STE 120, THE WOODLANDS, TX 77382-2937
(832) 403-3116
(936) 231-8746
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387069301
—
TX
Enumeration date
03/28/2017
Last updated
03/07/2019
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