Organization
AOSM SPINE SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CUBBAGE MD (MD/ MANAGING PARTNER)
(281) 664-2107
Entity
Organization
Contact information
Practice address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875
Mailing address
11800 FM 1960 RD W, HOUSTON, TX 77065-3840
(281) 664-2107
(281) 955-5875
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L6851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00655A
BC/BS PROVIDER RECORD ID
TX
Enumeration date
01/30/2009
Last updated
03/21/2017
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