Organization
INNOVATIVE SPINE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EFFIRD DC (PRESIDENT)
(713) 532-7311
Entity
Organization
Contact information
Practice address
10005 S MAIN ST, HOUSTON, TX 77025-5209
(713) 532-7311
(713) 532-7399
Mailing address
PO BOX 202575, DALLAS, TX 75320-2575
(713) 532-7311
(713) 532-7399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008568
TX
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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