Organization
NINH NEUROSPINE INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY V NINH MD (OWNER/PROVIDER)
(281) 412-5544
Entity
Organization
Contact information
Practice address
11711 SHADOW CREEK PKWY, STE 147, PEARLAND, TX 77584-7232
(832) 243-4969
(832) 598-2478
Mailing address
11711 SHADOW CREEK PKWY, STE 147, PEARLAND, TX 77584-7232
(832) 243-4969
(832) 598-2478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9284
TX
111NR0400X
Rehabilitation Chiropractor
9284
TX
208100000X
Physical Medicine & Rehabilitation Physician
N2690
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
TX2690
TX
332B00000X
Durable Medical Equipment & Medical Supplies
N2690
TX
Other
Enumeration date
09/10/2009
Last updated
09/04/2013
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