Organization
MINIMAL ACCESS SPINE TECHNOLOGY
Active
Other names
EBOS
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN VADHEIM (PRESIDENT)
(713) 231-7720
Entity
Organization
Contact information
Practice address
4582 KINGWOOD DR, SUITE 187, KINGWOOD, TX 77345-2639
(281) 462-7684
Mailing address
PO BOX 1651, CROSBY, TX 77532-1651
(281) 462-7684
(888) 832-5078
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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