Organization
BACKBONE SURGICAL SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN VADHEIM (MANAGEING MEMBER)
(713) 231-7720
Entity
Organization
Contact information
Practice address
4582 KINGWOOD DR, STE 187, KINGWOOD, TX 77345-2639
(713) 269-4564
(888) 426-6435
Mailing address
4582 KINGWOOD DRIVE, STE 187, KINGWOOD, TX 77345
(713) 269-4564
(888) 426-6435
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
TX
Other
Enumeration date
10/30/2014
Last updated
04/05/2017
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