Organization
INTEGRATIVE SPINE AND JOINT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELDOR BRISH MD (AUTHORIZED OFFICIAL)
(832) 647-5284
Entity
Organization
Contact information
Practice address
7505 FANNIN ST, 350, HOUSTON, TX 77054-1954
(832) 647-5284
(713) 456-2416
Mailing address
7505 FANNIN ST STE 350, HOUSTON, TX 77054-1954
(832) 647-5284
(713) 456-2416
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
N5593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N5593
TEXAS MEDICAL BOARD
TX
Enumeration date
02/28/2018
Last updated
03/04/2018
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