Provider Demographics
NPI:1497164990
Name:NEXT GENERATION ORTHOPEDIC & SPINE INSTITUTE, PLLC
Entity type:Organization
Organization Name:NEXT GENERATION ORTHOPEDIC & SPINE INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-402-1400
Mailing Address - Street 1:200 VALLEY WOOD DR STE A300
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3573
Mailing Address - Country:US
Mailing Address - Phone:832-402-1400
Mailing Address - Fax:210-855-7337
Practice Address - Street 1:200 VALLEY WOOD DR STE A300
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3573
Practice Address - Country:US
Practice Address - Phone:832-402-1400
Practice Address - Fax:210-855-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6882174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty