SPINE MINIVASIVE (NPI# 1336492487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336492487 |
| Entity Type | Organization |
| Organization Name | SPINE MINIVASIVE |
| Practice Address |
2646 S Loop W 360 Houston TX 77054-2665 |
| Practice Telephone | 8889597088 |
| Mailing Telephone | 8889597088 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | PHILLIP C PHAN (OWNER) |
| Authorized Official Telephone | 8889597088 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2646 S LOOP W 360 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783819 | Newchannel Incorporated | Durable Medical Equipment & Medical Supplies | 2646 S Loop W, Suite 270 & 270a, Houston, TX 77054-2665 | 2005-07-12 |
| 1174166904 | Brenda Thomas | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-10-24 |
| 1912550112 | Alozie Bright Amayaka | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-07-17 |
| 1124477336 | Siblings Healthcare Solutions LLC | Home Health | 2646 S Loop W, Suite 355, Houston, TX 77054-2665 | 2016-06-08 |
| 1013366335 | Tmc Pain Surgical Center | Clinic/Center | 2646 S Loop W, Suite 140, Houston, TX 77054-2665 | 2016-06-07 |
| 1982079307 | Pediatric Executives | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-12-10 |
| 1053785097 | Ken Pratt | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-11-13 |
| 1740678770 | Demetris A. Green, Sr. Md Pa | Family Medicine | 2646 S Loop W, Suite 220, Houston, TX 77054-2665 | 2014-12-29 |
| 1710384920 | Prestige Transportation Services | Non-emergency Medical Transport (VAN) | 2646 S Loop W, 505g, Houston, TX 77054-2665 | 2014-12-03 |
| 1356746200 | Sunset Labs, LLC | Clinical Medical Laboratory | 2646 S Loop W, Suite 665, Houston, TX 77054-2665 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309209 | Big Daddy Medical Supply | Durable Medical Equipment & Medical Supplies | 14747 Charlmont Dr, Houston, TX 77083-5645 | 2020-09-02 |
| 1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
| 1689283145 | Iv & Home Health Services of Texas | Durable Medical Equipment & Medical Supplies | 7545 Cherry Park Dr, Houston, TX 77095-2722 | 2020-07-30 |
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1609485697 | Houston Care Medical Supplies | Durable Medical Equipment & Medical Supplies | 440 Benmar Dr Ste 1022e, Houston, TX 77060-3271 | 2020-07-27 |
| 1750999306 | King Ross Medical Supply | Durable Medical Equipment & Medical Supplies | 5200 Mitchelldale St Ste F21, Houston, TX 77092-7221 | 2020-07-20 |
| 1346866738 | Tek Med 1 LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160a, Houston, TX 77029-1299 | 2020-06-22 |
| 1225654619 | Tek Med II, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160b, Houston, TX 77029-1299 | 2020-06-22 |
| 1215553615 | Tek Med IIi, LLC | Durable Medical Equipment & Medical Supplies | 9009 North Loop E Ste 160c, Houston, TX 77029-1299 | 2020-06-22 |
| 1033732524 | Nextstage Medical, LLC | Durable Medical Equipment & Medical Supplies | 510 Bering Dr Ste 650, Houston, TX 77057-1451 | 2020-05-19 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.