| Back Pain & Sciatica Center Of Huntsville Pllc | |
|
901 Normal Park Dr Ste 201 Huntsville TX 77320-3729 | |
| (936) 291-2111 | |
| (936) 291-0665 |
| Full Name | Back Pain & Sciatica Center Of Huntsville Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 901 Normal Park Dr Ste 201, Huntsville, Texas |
| Authorized Official Name and Position | Harry Eulitt (OWNER) |
| Authorized Official Contact | 9362912111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Pain & Sciatica Center Of Huntsville Pllc 901 Normal Park Dr Ste 201 Huntsville TX 77320-3729 Ph: (936) 291-2111 | Back Pain & Sciatica Center Of Huntsville Pllc 901 Normal Park Dr Ste 201 Huntsville TX 77320-3729 Ph: (936) 291-2111 |
| NPI Number | 1306521257 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Medicare PECOS PAC ID | 0749636215 |
|---|---|
| Medicare Enrollment ID | O20231020000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306521257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian K Mcgee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407943335 PECOS PAC ID: 8820038540 Enrollment ID: I20050511000845 |
| Provider Name | Katherine R Watt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619458387 PECOS PAC ID: 4183056310 Enrollment ID: I20191108002351 |
| Provider Name | Tamara Nicole Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558148015 PECOS PAC ID: 7113377953 Enrollment ID: I20231220001534 |
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