Healthcare Provider Details
I. General information
NPI: 1962971424
Provider Name (Legal Business Name): HOUSTON PAIN SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2018
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5420 DASHWOOD DR STE 103
HOUSTON TX
77081-5333
US
IV. Provider business mailing address
542 LUPIN ST
BELLAIRE TX
77401-5023
US
V. Phone/Fax
- Phone: 713-664-2662
- Fax: 713-987-7691
- Phone: 281-944-8032
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HUI
KANG
Title or Position: PRESIDENT
Credential: MD
Phone: 281-944-8032