| Relief Pain And Wellness | |
|
5514 Atascocita Rd Ste 290 Humble TX 77346-2968 | |
| (713) 400-3038 | |
| (832) 201-9644 |
| Full Name | Relief Pain And Wellness |
|---|---|
| Speciality | Pain Medicine |
| Location | 5514 Atascocita Rd, Humble, Texas |
| Authorized Official Name and Position | Jerry L Gentry (PHYSICIAN) |
| Authorized Official Contact | 7134003038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relief Pain And Wellness 5514 Atascocita Rd Ste 290 Humble TX 77346-2968 Ph: (713) 400-3038 | Relief Pain And Wellness 5514 Atascocita Rd Ste 290 Humble TX 77346-2968 Ph: (713) 400-3038 |
| NPI Number | 1245680255 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 06/21/2016 |
| Medicare PECOS PAC ID | 5597052761 |
|---|---|
| Medicare Enrollment ID | O20161003001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245680255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N8918 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | N8918 (Texas) | Primary |
| Provider Name | Jerry L Gentry |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750477683 PECOS PAC ID: 8729021902 Enrollment ID: I20150527000269 |
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