Organization Active NPI

Munshi Modern Pain, PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1083012058
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
P9659 Issued in TX
Legal business name
MUNSHI MODERN PAIN, PLLC
Practice address
12553 Gulf Fwy
Houston, TX 77034-4509
Phone
(281) 481-8557
Fax
(281) 484-7916
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Dr. Omer Farooque Munshi, MD
Title
Ownder
Phone
(281) 481-8557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X P9659 TX Primary

Addresses

Primary practice location

12553 Gulf Fwy
Houston, TX 77034-4509

Mailing address

12553 Gulf Fwy
Houston, TX 77034-4509
Phone (281) 481-8557

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1083012058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12553 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12553 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSHI MODERN PAIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "MUNSHI",
        "authorized_official_first_name": "OMER",
        "authorized_official_middle_name": "FAROOQUE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "281-481-8557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P9659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 2014; 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.