Provider Demographics
NPI:1487800926
Name:SPECIALTY JOINT SERVICES OF TEXAS, PA
Entity type:Organization
Organization Name:SPECIALTY JOINT SERVICES OF TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-373-5510
Mailing Address - Street 1:PO BOX 1963
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-1963
Mailing Address - Country:US
Mailing Address - Phone:281-373-5510
Mailing Address - Fax:
Practice Address - Street 1:17333 SPRING CYPRESS RD
Practice Address - Street 2:SUITE C
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4288
Practice Address - Country:US
Practice Address - Phone:281-373-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty