Provider Demographics
NPI:1649373192
Name:TEXAS SPINAL CARE
Entity type:Organization
Organization Name:TEXAS SPINAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHUNG
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-240-2262
Mailing Address - Street 1:1930 HIGHWAY 6
Mailing Address - Street 2:STE. D
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4965
Mailing Address - Country:US
Mailing Address - Phone:281-240-2262
Mailing Address - Fax:281-240-2264
Practice Address - Street 1:1930 HIGHWAY 6
Practice Address - Street 2:STE. D
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4965
Practice Address - Country:US
Practice Address - Phone:281-240-2262
Practice Address - Fax:281-240-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0091JQOtherBCBS GROUP#
TX605200Medicare ID - Type Unspecified