NPIMap

Organization Active NPI

St Mary'S Behavioral Pain Management

  • Chiropractor
  • Houston, TX
National Provider Identifier
1063947588
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11573 Issued in TX
Legal business name
ST MARY'S BEHAVIORAL PAIN MANAGEMENT
Practice address
3033 Fannin St
Houston, TX 77004-3258
Phone
(713) 652-0011
Fax
(713) 652-0015
NPI assigned
Apr 21, 2017
Organization subpart
Yes
Parent organization
HOUSTON MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Esther Figueroa
Title
Insurance Coordinator
Phone
(281) 936-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 11573 TX Primary

Addresses

Primary practice location

3033 Fannin St
Houston, TX 77004-3258

Mailing address

3033 Fannin St
Houston, TX 77004-3258
Phone (713) 652-0011

Other names 1

  • Houston Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Houston Medical Group3 organizations share this tax ID, including this one
Part of
Downtwon Performance Rehab

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1063947588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043258",
            "telephone_number": "713-652-0011",
            "fax_number": "713-652-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043258",
            "telephone_number": "713-652-0011",
            "fax_number": "713-652-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S BEHAVIORAL PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON MEDICAL GROUP",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "281-936-8865"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.