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General NPI Number Information
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NPI Number | 1508824186
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Entity Type | Organization
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Legal Business Name | THE PAIN CARE CENTER
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2327 W HIGHWAY 35
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City | ANGLETON
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State | TX
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Zip | 77515-7455
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Country | US
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Telephone | 979-848-1886
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Fax | 979-848-1376
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Provider Business Mailing Address
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Address Line | PO BOX 25403
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City | HOUSTON
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State | TX
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Zip | 77265-5403
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Country | US
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Telephone | 713-574-9922
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Fax | 713-456-2220
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MELISSA STEWART
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Credential |
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Telephone | 713-574-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 101757
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | H9633
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 37976
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1127272
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License Number State | TX
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