Houston Pain And Spine | |
2100 West Loop S Ste 400 Houston TX 77027-3544 | |
(832) 436-4040 | |
(832) 436-4050 |
Full Name | Houston Pain And Spine |
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Speciality | Psychiatry & Neurology |
Location | 2100 West Loop S Ste 400, Houston, Texas |
Authorized Official Name and Position | Asif M Chaudhry (PRESIDENT/OWNER) |
Authorized Official Contact | 8324364040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Houston Pain And Spine 2100 West Loop S Ste 400 Houston TX 77027-3544 Ph: (832) 436-4040 | Houston Pain And Spine 2100 West Loop S Ste 400 Houston TX 77027-3544 Ph: (832) 436-4040 |
NPI Number | 1083919955 |
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Provider Enumeration Date | 01/24/2011 |
Last Update Date | 01/11/2023 |
Certification Date | 01/11/2023 |
Medicare PECOS PAC ID | 2365628856 |
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Medicare Enrollment ID | O20110518000172 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083919955 | NPI | - | NPPES |
281890801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P2900X | Psychiatry & Neurology - Pain Medicine | M2282 (Texas) | Primary |
Provider Name | Asif M Chaudhry |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1679774152 PECOS PAC ID: 3870643711 Enrollment ID: I20090615000390 |
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