| NPI | 1609168780 |
|---|---|
| Doing Business As | NORTHSIDE SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK JASON FILLEY President 281-543-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: TX K8150) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |