Organization · NPI-2

Advanced Invasive Pain Management Of Houston PA

· Houston, TX

NPI number1609106509
StatusActive
Last updated in NPPESDec 28, 2009

Details

NPI
1609106509
Entity type
Organization (NPI-2)
Legal business name
Advanced Invasive Pain Management Of Houston PA
Organization subpart
No
Enumeration date
Dec 28, 2009
Last updated
Dec 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X g1453TXYes
2081P2900X Physical Medicine & Rehabilitation, Pain Medicinel1737TX

Practice location

7400 Fannin St
1160
Houston, TX 77054-1920

Phone 713-808-9595 · Fax 713-808-9822

Mailing address

Po Box 5807
Kingwood, TX 77325-5807

Phone 713-943-7246

Authorized official

Jerry M Keepers
President
7139437246

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