Healthcare Provider Details

I. General information

NPI: 1174281919
Provider Name (Legal Business Name): HOUSTON INTEGRATED HEALTHCARE SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 COLLEGE PARK DR STE 101
THE WOODLANDS TX
77384-4001
US

IV. Provider business mailing address

12501 HYMEADOW DR STE 1F
AUSTIN TX
78750-1831
US

V. Phone/Fax

Practice location:
  • Phone: 314-378-5422
  • Fax:
Mailing address:
  • Phone: 512-924-2978
  • Fax: 512-436-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BART G ATENCIO
Title or Position: MANAGER
Credential: DC
Phone: 512-924-2978