Healthcare Provider Details

I. General information

NPI: 1356739619
Provider Name (Legal Business Name): TEXAS PAIN CENTERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2015
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BONAVENTURE WAY STE 119
SUGAR LAND TX
77479-8005
US

IV. Provider business mailing address

800 BONAVENTURE WAY STE 119
SUGAR LAND TX
77479-8005
US

V. Phone/Fax

Practice location:
  • Phone: 832-730-7246
  • Fax: 844-302-5696
Mailing address:
  • Phone: 832-730-7246
  • Fax: 844-302-5696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VEENA BASAVA
Title or Position: PRESIDENT
Credential: MD
Phone: 832-730-7246