| Lordex Spine Institute | |
|
212 Gulf Fwy S Ste G1, League City, TX 77573-3957 | |
| (281) 535-5673 | |
| (832) 932-5490 |
| Full Name | Lordex Spine Institute |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 212 Gulf Fwy S Ste G1, League City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245447788 | NPI | - | NPPES |
| 208003801 | Medicaid | TX | |
| 1081532 | Other | TX | AMERICAN SPECIALTY HEALTH |
| 8AD330 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10641 (Texas) | Primary |
| Provider Name | Brandt Spies |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598972036 PECOS PAC ID: 8628135167 Enrollment ID: I20090326000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Lordex Spine Institute 212 Gulf Fwy S Ste G1, League City, TX 77573-3957 Ph: (281) 535-5673 | Lordex Spine Institute 212 Gulf Fwy S Ste G1, League City, TX 77573-3957 Ph: (281) 535-5673 |
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