Interdiscipliinary Pain Management

Primary specialty

SpecialistTaxonomy code 174400000X

License

H9937 Issued in TX

Legal business name

INTERDISCIPLIINARY PAIN MANAGEMENT

Practice address

1608 Avenue O
Huntsville, TX 77340-4418

Phone

(936) 436-1796

Fax

(936) 291-6396

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dennis Moehr

Title

Office Manager

Phone

(936) 436-1796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346441565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 AVENUE O",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404418",
            "telephone_number": "936-436-1796",
            "fax_number": "936-291-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 AVENUE O",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404418",
            "telephone_number": "936-436-1796",
            "fax_number": "936-291-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERDISCIPLIINARY PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOEHR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-436-1796"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntsville Wound Care PLLC
• HV Wound Care Center
• Katherine Prichard Hyde, O.D.
• Premswarup Joel Immaraj, M.D.
• Infinite Vision, PLLC
• Internal Medicine Associates of Huntsville, PLLC
• Ja Robles & Associates Inc
• Dhanya Mary Jacob, DO
• Dayana Noemi Jacome, AGACNP
• David S Jang

• Specialist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.