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GREGORY ELDERS SPINE PLLC NPI 1053843375


NPI Information

NPI: 1053843375
Provider Name: GREGORY ELDERS SPINE PLLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
10857 KUYKENDAHL RD STE 120
THE WOODLANDS, TX
ZIP 77382
Phone: (832) 403-3116
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GREGORY ELDERS SPINE PLLC is an orthopaedic surgery of the spine orthopaedic surgery in The Woodlands, TX. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. GREGORY ELDERS SPINE PLLC NPI is 1053843375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10857 KUYKENDAHL RD STE 120
THE WOODLANDS, TX
ZIP 77382-937
Phone: (832) 403-3116
Fax: (936) 231-8746

The provider's authorized official is Gregory J Elders .
The authorized official title is Owner and has the following contact phone number (832) 403-3116.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 3/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1387069301MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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