Organization
SPINE CARE INSTITUTE CLEAR LAKE
Active
Organization
SPINE CARE INSTITUTE CLEAR LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL HODGES JR. D.C. (OWNER)
(281) 332-9631
Entity
Organization
Contact information
Practice address
2047 W MAIN ST, SUITE A8, LEAGUE CITY, TX 77573-3579
(281) 332-9631
(281) 332-8192
Mailing address
2047 W MAIN ST, SUITE A8, LEAGUE CITY, TX 77573-3579
(281) 332-9631
(281) 332-8192
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4141
TX
Other
Enumeration date
02/10/2007
Last updated
01/05/2008
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