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General NPI Number Information
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NPI Number | 1801267661
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Entity Type | Organization
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Legal Business Name | INNOVATIVE PAIN AND SPINE INSTITUTE
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 21820 KINGSLAND BLVD STE 101A
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City | KATY
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State | TX
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Zip | 77450-2507
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Country | US
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Telephone | 713-714-7834
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Fax | 888-202-1057
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Provider Business Mailing Address
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Address Line | 9654 KATY FWY STE C200
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City | HOUSTON
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State | TX
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Zip | 77055-6341
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Country | US
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Telephone | 713-714-7834
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Fax | 888-202-1057
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. JOSEPH AMOS
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Credential | M.D.
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Telephone | 214-293-9067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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