Healthcare Provider Details

I. General information

NPI: 1285849687
Provider Name (Legal Business Name): PAIN AND HEALTH MANAGEMENT CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9055 KATY FWY SUITE 311
HOUSTON TX
77024-1624
US

IV. Provider business mailing address

PO BOX 201060
HOUSTON TX
77216-1060
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-8555
  • Fax: 713-461-8596
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberK3168
License Number StateTX

VIII. Authorized Official

Name: LYNN KARBINAS
Title or Position: OFFICE MANAGER
Credential:
Phone: 713-461-8555