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Organization

ORIGIN SPINE INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI MAZLOOM (MANAGER)
(832) 856-2988
Entity
Organization

Contact information

Practice address
9135 KATY FWY STE 300, HOUSTON, TX 77024-1619
(832) 856-2988
(888) 597-0223
Mailing address
9135 KATY FWY STE 300, HOUSTON, TX 77024-1619
(832) 655-4846

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
08/13/2020
Last updated
11/10/2020
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