Healthcare Provider Details

I. General information

NPI: 1881085595
Provider Name (Legal Business Name): USPS MEDICAL ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 12/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 SOUTHWEST FWY
HOUSTON TX
77074-1705
US

IV. Provider business mailing address

8111 SOUTHWEST FWY
HOUSTON TX
77074-1705
US

V. Phone/Fax

Practice location:
  • Phone: 713-973-7246
  • Fax:
Mailing address:
  • Phone: 713-973-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: EDWARD BAUMGARTNER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 713-973-7246