MEDICARE: KATY PAIN AND SPINE, PLLC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1427411289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATY PAIN AND SPINE, PLLC

Provider Business Mailing Address
First Line	:	1332 PIN OAK RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-6848
Country	:	US
Telephone Number	:	713-714-7192
Fax Number	:	713-263-3425

Provider Business Practice Location Address
First Line	:	1332 PIN OAK RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-6848
Country	:	US
Telephone Number	:	713-714-7192
Fax Number	:	713-263-3425

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/PHYSICIAN
Name	:	DR. SCOTT H LIN
Credential	:	M.D.
Telephone Number	:	713-714-7192

Provider Enumeration Date	:	03/30/2016
Last Update Date	:	03/30/2016

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