Organization Name: | SPINE ASSIST LLC |
NPI Number: | 1023349545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE EDWARD BRETZ (GENERAL PARTNER) |
Mailing Address: | 1449 Highway 6 Suite 300 Sugar Land |
State: | TX US |
Postal Code: | 774785145 |
Phone Number: | 2817686730 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2010 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |