NPIMap

Organization Active NPI

Pain Management Center of Houston PA

  • Pain Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1063520716
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN MANAGEMENT CENTER OF HOUSTON PA
Practice address
9100 Forest Xing Ste a
The Woodlands, TX 77381-1194
Phone
(936) 755-4412
Fax
(713) 422-2169
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Alan Moore, MDNPI 1245241124
Title
President
Phone
(936) 755-4412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

9100 Forest Xing Ste a
The Woodlands, TX 77381-1194

Mailing address

9100 Forest Xing Ste a
The Woodlands, TX 77381-1194
Phone (936) 755-4412

Other practice location 1

5420 West Loop S
Ste 3500
Bellaire, TX 77401-2107
Phone (713) 664-2662

Other identifiers 1

IdentifierTypeStateIssuer
083267701MedicaidTX

National Provider Directory

National Provider Directory

Locations

5420 West Loop S
Ste 3500
Bellaire, TX 77401
Phone (713) 664-2662

6447 Main St
#F
Houston, TX 77030
Phone (713) 790-0790

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1063520716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 FOREST XING STE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811194",
            "telephone_number": "936-755-4412",
            "fax_number": "713-422-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 FOREST XING STE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811194",
            "telephone_number": "936-755-4412",
            "fax_number": "713-422-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5420 West Loop S",
            "address_2": "Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774012107",
            "country_code": "US",
            "telephone_number": "713-664-2662",
            "fax_number": "713-987-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER OF HOUSTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-755-4412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083267701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.