Organization
PRINCIPLE SPINE AND JOINT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MONROE DIETER III DC, NP-C (GENERAL MANAGER)
(832) 932-5968
Entity
Organization
Contact information
Practice address
16840 BUCCANEER LN STE J, HOUSTON, TX 77058-2507
(832) 932-5968
Mailing address
16840 BUCCANEER LN STE J, HOUSTON, TX 77058-2507
(832) 932-5968
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
776968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114159142
NPI
TX
Enumeration date
12/11/2017
Last updated
12/11/2017
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