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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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