MEMORIAL SPINE ASSOCIATION LLC NPI 1083808893

NPI Information

  • NPI: 1083808893
  • Provider Name: MEMORIAL SPINE ASSOCIATION, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 45D2285383
  • Address: 18929 HIGHWAY 59 N
    HUMBLE, TX
    ZIP 77338
  • Phone: (281) 446-4053

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NPI Details

MEMORIAL SPINE ASSOCIATION, LLC is an ambulatory surgical clinic center in Humble, TX. MEMORIAL SPINE ASSOCIATION, LLC NPI is 1083808893. The provider is registered as an organization entity type.

The provider's business location address is:

18929 HIGHWAY 59 N
HUMBLE, TX
ZIP 77338-270
Phone: (281) 446-4053

The provider's authorized official is Carolyn Bruce .
The authorized official title is V.p. and has the following contact phone number (713) 554-7505.

The CLIA number assigned to this NPI record is 45D2285383 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.

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
1261QA1903XClinic/CenterAmbulatory Surgical007917TEXASYes

What is NPI?

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This page was last updated on: 3/30/2025

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