MEDICARE: NORTH HOUSTON PAIN CENTER LLC

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336252469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HOUSTON PAIN CENTER LLC

Provider Business Mailing Address
First Line	:	24018 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1536
Country	:	US
Telephone Number	:	281-446-4878
Fax Number	:	281-446-4664

Provider Business Practice Location Address
First Line	:	24018 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1536
Country	:	US
Telephone Number	:	281-446-4878
Fax Number	:	281-446-4664

Authorized Official
Title or Position	:	OWNER
Name	:	LEONARD TRAHAN
Credential	:	M.D.
Telephone Number	:	281-446-4878

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	12/01/2023

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Directions to “NORTH HOUSTON PAIN CENTER LLC ” Practice Location

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