NPIMap

Organization Active NPI

Pearland Back and Neck Clinic

  • Interventional Pain Medicine Physician
  • Pearland, TX
National Provider Identifier
1437452638
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
J1578 Issued in TX
Legal business name
PEARLAND BACK AND NECK CLINIC
Practice address
10950 Memorial Hermann Dr
Ste 203
Pearland, TX 77584
Phone
(281) 347-7246
Fax
(281) 347-7250
NPI assigned
Dec 9, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
HOUSTON BACK AND NECK CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Abraham Gregory Thomas, MDNPI 1780610899
Title
Owner
Phone
(281) 347-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X J1578 TX Primary

Addresses

Primary practice location

10950 Memorial Hermann Dr
Ste 203
Pearland, TX 77584

Mailing address

10950 Memorial Hermann Dr
Ste 203
Pearland, TX 77584
Phone (281) 347-7246

Other identifiers 1

IdentifierTypeStateIssuer
TXB104569OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory
Part of
Abraham G Thomas MD

Locations

10950 Memorial Hermann Dr
Ste 203
Pearland, TX 77584
Phone (281) 347-7246

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1437452638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 MEMORIAL HERMANN DR",
            "address_2": "STE 203",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "281-347-7246",
            "fax_number": "281-347-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 MEMORIAL HERMANN DR",
            "address_2": "STE 203",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "281-347-7246",
            "fax_number": "281-347-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND BACK AND NECK CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON BACK AND NECK CLINIC",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-347-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB104569",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.