Organization Active NPI

Absolute Pain & Wellness, PLLC

  • Family Medicine Physician
  • Crosby, TX
National Provider Identifier
1396407938
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ABSOLUTE PAIN & WELLNESS, PLLC
Practice address
15107 FM 2100 Rd Ste E
Crosby, TX 77532-1650
Phone
(281) 462-4804
Fax
(281) 462-4825
NPI assigned
Oct 11, 2021
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Michaela Maximin
Title
Manager
Phone
(832) 941-0901

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Family Medicine Physician 207Q00000X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

15107 FM 2100 Rd Ste E
Crosby, TX 77532-1650

Mailing address

14626 FM 2100 Rd Ste C
Crosby, TX 77532-9160
Phone (281) 462-4804

Other practice location 1

14626 Fm 2100 Rd Ste C
Crosby, TX 77532-9160
Phone (832) 941-0901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220328002431 TX Part B Supplier - Clinic/Group Practice 6709271877 Receives reassigned benefits from 2 practitioners
Practice locations: Crosby, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2241705Absolute Pain & Wellness PLLC14626 FM 2100 Rd Suite C, Crosby, TX 77532Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Locations

14626 FM 2100 Rd
Ste C
Crosby, TX 77532
Phone (281) 328-2568

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1396407938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14626 FM 2100 RD STE C",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775329160",
            "telephone_number": "281-462-4804",
            "fax_number": "281-462-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 FM 2100 RD STE E",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321650",
            "telephone_number": "281-462-4804",
            "fax_number": "281-462-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14626 Fm 2100 Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Crosby",
            "state": "TX",
            "postal_code": "775329160",
            "country_code": "US",
            "telephone_number": "832-941-0901",
            "fax_number": "832-941-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABSOLUTE PAIN & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "MAXIMIN",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-941-0901"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.