| Spine & Rehab Associates Pllc | |
|
26865 Interstate 45 Ste 300 The Woodlands TX 77380-4046 | |
| (346) 646-3100 | |
| (346) 646-3100 |
| Full Name | Spine & Rehab Associates Pllc |
|---|---|
| Speciality | Pain Medicine |
| Location | 26865 Interstate 45 Ste 300, The Woodlands, Texas |
| Authorized Official Name and Position | Robert Alan Moore (OWNER) |
| Authorized Official Contact | 3466463100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine & Rehab Associates Pllc 26865 Interstate 45 Ste 300 The Woodlands TX 77380-4046 Ph: (346) 646-3100 | Spine & Rehab Associates Pllc 26865 Interstate 45 Ste 300 The Woodlands TX 77380-4046 Ph: (346) 646-3100 |
| NPI Number | 1225727944 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Medicare PECOS PAC ID | 5294196689 |
|---|---|
| Medicare Enrollment ID | O20230801004352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225727944 | NPI | - | NPPES |
| Provider Name | Jason Kelly Demattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013125 PECOS PAC ID: 6204842479 Enrollment ID: I20060224000379 |
| Provider Name | Jeffrey Paul Hogan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609865104 PECOS PAC ID: 5092726182 Enrollment ID: I20060607000072 |
| Provider Name | Todd R Custer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043245574 PECOS PAC ID: 4688619927 Enrollment ID: I20070130000556 |
| Provider Name | Karen Michelle Hamid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265596993 PECOS PAC ID: 4284762709 Enrollment ID: I20100504000512 |
| Provider Name | James Z Benson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477751519 PECOS PAC ID: 3072638246 Enrollment ID: I20100910000620 |
| Provider Name | Donald Mckinley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902949001 PECOS PAC ID: 1052633898 Enrollment ID: I20141204001795 |
| Provider Name | Dustin M Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316947179 PECOS PAC ID: 3375822141 Enrollment ID: I20161118000187 |
| Provider Name | Zachry Polk Benson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942748702 PECOS PAC ID: 1052685179 Enrollment ID: I20170927003520 |
| Provider Name | Brett M Baer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659890424 PECOS PAC ID: 3072926708 Enrollment ID: I20210119001435 |
| Provider Name | Michael K Allison |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508314022 PECOS PAC ID: 7214310523 Enrollment ID: I20220819000806 |
| Provider Name | James K Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083746234 PECOS PAC ID: 5799700266 Enrollment ID: I20231024001216 |
| Provider Name | William Reynolds |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356461347 PECOS PAC ID: 7719968411 Enrollment ID: I20240109000978 |
| Provider Name | Kyle Stewart Manning |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538790654 PECOS PAC ID: 7911445671 Enrollment ID: I20240813004264 |
| Provider Name | Ryan Hendrex |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487343109 PECOS PAC ID: 8426596826 Enrollment ID: I20240816000952 |
| Provider Name | Reid Amedee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932405867 PECOS PAC ID: 6901089978 Enrollment ID: I20241219004440 |
| Provider Name | Chester Nguyen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326853227 PECOS PAC ID: 3072034800 Enrollment ID: I20250310000086 |
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