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Contact Information

ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
308 W PARKWOOD AVE
STE 106
FRIENDSWOOD, TX77546-5478
 Phone: 713-943-7246
 Fax: 713-943-0167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA

NPI Number 1285669812
LBN Legal business name ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Authorized official JERRY KEEPERS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2006
Last updated 04/01/2014 - About 12 years ago
Identifiers
TX Medicaid 177211301
TX Other 10023613 AMERIGROUP STAR PLUS
TX Other 26JS BLUE CROSS BLUE SHIELD
TX Other CD8579 PALMETTO GBA
TX Other 352434000 US DEPARTMENT OF LABOR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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