One Source Medical & Regenerative Services LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ONE SOURCE MEDICAL & REGENERATIVE SERVICES LLC

Doing business as

One Source Medical & Regenerative Services LLC

Practice address

8313 Southwest Fwy Ste 300
Houston, TX 77074-1608

Phone

(713) 784-2903

Fax

(713) 784-2908

NPI assigned

Aug 24, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Robles, MDNPI 1013074962

Title

President/MD

Phone

(713) 784-2903

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• One Source Medical & Regenerative Services LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Robles, M.D.

  • Interventional Pain Medicine Physician
  • Weslaco, TX
  • NPI 1013074962
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1235858119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 18TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785968032",
            "telephone_number": "915-929-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 SOUTHWEST FWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741608",
            "telephone_number": "713-784-2903",
            "fax_number": "713-784-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE MEDICAL & REGENERATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "713-784-2903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3911240",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113251608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source Medical & Regenerative Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Source Medical & Regenerative Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Anesthesiology) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.