Organization
HOLDINGS OF SPINECARE, LLC
Active
Parent organization
HOLDINGS OF SPINECARE, LLC
Other names
Spinecare LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLDINGS OF SPINECARE, LLC
Authorized official
JORDON FOWLER (CEO)
(917) 216-6285
Entity
Organization
Contact information
Practice address
5734 SPOHN DRIVE, SUITE B, CORPUS CHRISTI, TX 78414-4116
(361) 724-3292
(361) 371-7268
Mailing address
5734 SPOHN DRIVE, SUITE B, CORPUS CHRISTI, TX 78414-4116
(361) 724-3292
(361) 371-7268
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008169
TX
Other
Enumeration date
01/04/2007
Last updated
06/29/2022
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