Organization
PREMIER SPINE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONAVENTURE NGU M.D. (CEO / OWNER)
(281) 719-9505
Entity
Organization
Contact information
Practice address
411 LANTERN BEND DR STE 100A, HOUSTON, TX 77090-2833
(281) 719-9505
(281) 719-0715
Mailing address
411 LANTERN BEND DR STE 100A, HOUSTON, TX 77090-2833
(281) 719-9505
(281) 719-0715
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M3339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB157223
PTAN
TX
Enumeration date
05/10/2012
Last updated
06/04/2025
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