JOINT & SPINE CENTER PA NPI 1356462915

NPI Information

NPI: 1356462915
Provider Name: JOINT & SPINE CENTER PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
100 MEDICAL CENTER PARKWAY
SUITE #100
HUNTSVILLE, TX
ZIP 77340
Phone: (936) 295-1777
Get Directions

JOINT & SPINE CENTER PA is a chiropractor in Huntsville, TX. The provider is 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. JOINT & SPINE CENTER PA NPI is 1356462915. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 MEDICAL CENTER PARKWAY
SUITE #100
HUNTSVILLE, TX
ZIP 77340
Phone: (936) 295-1777
Fax: (936) 295-3680

The provider's authorized official is Jeffrey Leon Pruski .
The authorized official title is Owner and has the following contact phone number (936) 295-1777.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/3/2010.

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
1	111NR0400X	Chiropractor	Rehabilitation	5291	TEXAS	No
2	111NR0400X	Chiropractor	Rehabilitation	1036200	TEXAS	No
3	111N00000X	Chiropractor		5291	TEXAS	Yes

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
1	00L17L	MEDICARE PIN	TEXAS
2	00L17L	OTHER	TEXAS	BCBS I.D. NUMBER

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

NPI Synchronization or Removal

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