SOUTHEAST SPINE AND REHAB (NPI# 1679104939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679104939 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST SPINE AND REHAB |
| Practice Address | 8470 Gulf Fwy Ste G Houston TX 77017-5026 |
| Practice Telephone | 7136453536 |
| Practice Fax Number | 7136453940 |
| Mailing Address | 8470 Gulf Fwy Ste G Houston TX 77017-5026 |
| Mailing Telephone | 7136453536 |
| Mailing Fax Number | 7136453940 |
| Certification Date | 2020-01-27 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Telephone | 7136453536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 Southwest Fwy Ste 190, Houston, TX 770741517 | 7137724445 |
| Street Address | 8470 GULF FWY STE G |
| City | HOUSTON |
| State | TX |
| Zip Code | 77017-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347991 | Michael Shackelford | Technician · Attendant Care Provider | 4007 Meridian, Houston, TX 77017 | 2019-10-10 |
| 1528478039 | Gulf Coast Opportunity Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4115 Galveston Road, Houston, TX 77017 | 2014-05-06 |
| 1871926428 | Children 1st Houston South, LLC · Children 1st Dental & Surgery Center | Clinic/Center · Ambulatory Surgical | 8545 Gulf Fwy, Houston, TX 77017 | 2013-08-19 |
| 1609219146 | Harmony Group, LLC | Community/Behavioral Health | 8485 Gulf Fwy Ste A, Houston, TX 77017 | 2013-04-15 |
| 1407102833 | Abby Medical Supply | Durable Medical Equipment & Medical Supplies | 8503 Gulf Freeway, F, Houston, TX 77017 | 2012-08-03 |
| 1568605848 | Atlantic Avenue, LLC · Bilingual Primary Home Care | Home Health | 7925 Grafton Street, Houston, TX 77017 | 2009-04-15 |
| 1447404975 | Joseph Sleiman, Md Pa · Clinic 45 Weight Loss & Family Practice | Family Medicine · Obesity Medicine | 8221 Gulf Freeway, Suite 400, Houston, TX 77017 | 2008-11-11 |
| 1659535938 | Mark E. Caranto,Dds,Pa · Dental Smiles | Dentist · General Practice | 8221 Gulf Freeway Suite 300, Houston, TX 77017 | 2008-07-15 |
| 1184709289 | Nedith Casquete | Dentist · General Practice | 3201 Broadway St, Houston, TX 77017 | 2006-10-26 |
| 1275542250 | Occupational Health Centers of The Southwest, P.a. · Concentra Medical Center | Clinic/Center · Physical Therapy | 8505 Gulf Freeway, Suite F, Houston, TX 77017 | 2006-08-07 |
| Find all providers in zip 77017 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962094508 | Moynica S Parott | 1770 Saint James Pl Ste 210, Houston, TX 77056-3432 | 2021-02-04 | |
| 1760073365 | Ruben Munguia | 615 North Loop E # 200, Houston, TX 77022-5934 | 2021-01-27 | |
| 1114516309 | Weston Wilborn | 2600 North Gessner Rd Ste 140, Houston, TX 77080-3842 | 2021-01-13 | |
| 1396331237 | The Art of Healing Chiropractic Clinic, LLC | 16630 Imperial Valley Dr Ste 118, Houston, TX 77060-3410 | 2020-12-15 | |
| 1891395166 | Henry Pham | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 | |
| 1023615408 | Alma Therapeutic LLC | 6201 Bonhomme Rd Ste 340n, Houston, TX 77036-4430 | 2020-10-08 | |
| 1306453402 | Kayla Shea Day | 1 City Club Dr, Houston, TX 77046-4602 | 2020-09-23 | |
| 1255946059 | All Health Medical & Rehab, Pllc · Clinica Magnolia | 6831 Navigation Blvd, Houston, TX 77011-1452 | 2020-09-09 | |
| 1114545266 | Peak Potential Houston Heights LLC | 6212 N Main St Ste C, Houston, TX 77009-2496 | 2020-07-06 | |
| 1770108326 | Alicia Danielle Burns | 1120 Nasa Pkwy Ste 324, Houston, TX 77058-3366 | 2020-06-09 | |
| Find all providers in HOUSTON | ||||
| City | HOUSTON |
| Zip Code | 77017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588890891 | Southeast Spine and Rehab Corp. | Chiropractor · Rehabilitation | 209 E Moody Ave, Knoxville, TN 37920-4203 | 2009-06-02 |
| 1649781907 | Spine Institute of Southeast Texas · Spine Institute of Southeast Texas | Clinic/Center · Medical Specialty | 10907 Memorial Hermann Dr Ste 320, Pearland, TX 77584-4194 | 2017-10-13 |
| 1780626440 | Active Care Spine and Sports Rehab LLC · Activecare Spine & Sports Rehab | Physical Therapist | 600 Mount Pleasant Avenue, Suite F, Dover, NJ 07801 | 2006-06-10 |
| 1295276970 | Southeast Rehab LLC. · Southeast Part B Practice | Nurse Practitioner · Gerontology | 903 Borgognoni Dr, Lake Village, AR 71653-1623 | 2017-03-15 |
| 1942658729 | Southeast Rehab LLC · Southeast Rehabilitation Hospital | Physician Assistant · Medical | 903 Borgognoni Dr, Lake Village, AR 71653-1623 | 2016-06-02 |
| 1700959905 | Southeast Rehab LLC · Southeast Rehabilitation Hospital | Rehabilitation Hospital | 903 Borgognoni Dr, Lake Village, AR 71653-1623 | 2006-11-16 |
| 1063723419 | Chiromed Spine & Rehab Center Inc. · Lowman Spine & Rehab Center | Chiropractor | 2691 Sandlin Rd Sw, Suite A, Decatur, AL 35601-7361 | 2010-06-30 |
| 1528483229 | Dynamic Rehab and Spine, LLC · Dynamic Rehab and Spine Chantilly, LLC | Chiropractor · Sports Physician | 2380 Plank Rd, A, Fredericksuburg, VA 22401 | 2014-03-04 |
| 1437718913 | Centex Spine & Rehab, LLC · Centex Spine & Rehab, LLC | Chiropractor | 7111 Bosque Blvd Ste 101, Waco, TX 76710-4067 | 2019-06-10 |
| 1174788590 | Little Elm Orthopedic and Spine Rehab PC · Texas Orthopedic & Spine Rehab | Chiropractor | 3033 Bella Vista Ln, Little Elm, TX 75068-7839 | 2008-07-24 |
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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.