MEDICARE: MIGRAINE RELIEF CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	N5003	TX

General Provider Information

NPI Number	:	1194017277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGRAINE RELIEF CENTER

Provider Business Mailing Address
First Line	:	1355 W GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-522-5111
Fax Number	:	713-522-6111

Provider Business Practice Location Address
First Line	:	1355 W GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-522-5111
Fax Number	:	713-522-6111

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JULIAN KAHN
Credential	:
Telephone Number	:	713-522-5111

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	05/09/2011

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Directions to “MIGRAINE RELIEF CENTER ” Practice Location

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