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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