NPIMap

Organization Active NPI

Minivasive Pain Specialists,PLLC

Doing business as Minivasive Pain & Orthopedics

  • Interventional Pain Medicine Physician
  • Spring, TX
National Provider Identifier
1477099851
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MINIVASIVE PAIN SPECIALISTS,PLLC
Doing business as
Minivasive Pain & Orthopedics
Practice address
3301 Spring Stuebner Rd
Suite 110
Spring, TX 77389-5194
Phone
(346) 800-6001
Fax
(346) 800-6002
NPI assigned
Jan 10, 2017
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Phong Quoc Le, D.ONPI 1568673812
Title
Provider/Owner
Phone
(346) 800-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Surgery of the Spine Physician 207XS0117X
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

3301 Spring Stuebner Rd
Suite 110
Spring, TX 77389-5194

Mailing address

3301 Spring Stuebner Rd
Suite 110
Spring, TX 77389-5194
Phone (346) 800-6001

Other practice location 1

13831 Northwest Fwy Ste 177
Houston, TX 77040-5224
Phone (346) 800-6001

Other practice location 2

11925 Southwest Fwy Ste 1-C
Stafford, TX 77477-2300
Phone (346) 800-6001

Other practice location 3

12827 Gulf Fwy
Houston, TX 77034-4807
Phone (346) 800-6001

Other practice location 4

310 Kingwood Executive Dr Ste C
Kingwood, TX 77339-2752
Phone (346) 800-6001

Other names 1

  • Minivasive Pain & Orthopedics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180919001007 TX Part B Supplier - Clinic/Group Practice 7113278896 Receives reassigned benefits from 37 practitioners
Practice locations: Webster, TX; Tomball, TX; Sugar Land, TX; Stafford, TX; Spring, TX; Shenandoah, TX; Pearland, TX; Kingwood, TX…

National Provider Directory

National Provider Directory

Locations

711 S 11TH St
Ste 102
Beaumont, TX 77701

15201 East Fwy
#118
Channelview, TX 77530

15201 East Fwy
Ste 118
Channelview, TX 77530

12827 Gulf Fwy
Houston, TX 77034
Phone (281) 481-2649

13831 Northwest Fwy
Ste 177
Houston, TX 77040

2051 Greenhouse Rd
Ste 240
Houston, TX 77084

2636 S Loop W
Ste 301
Houston, TX 77054

2656 S Loop W
Ste 595
Houston, TX 77054

6002 Rogerdale Rd
Ste 590
Houston, TX 77072

7272 Pinemont Dr
Ste A
Houston, TX 77040

3307 Spring Stuebner Rd
Ste D
Spring, TX 77389
Phone (363) 800-6001

11925 Southwest Fwy
#1C
Stafford, TX 77477

11925 Southwest Fwy
Ste 1
Stafford, TX 77477

11925 Southwest Fwy
Ste 1C
Stafford, TX 77477

4660 Sweetwater Blvd
Ste 190
Sugar Land, TX 77479
Phone (281) 313-0551

155 School St
Ste 230
Tomball, TX 77375

205 E Medical Center Blvd
#100
Webster, TX 77598

205 E Medical Center Blvd
Ste 100
Webster, TX 77598

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1477099851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SPRING STUEBNER RD",
            "address_2": "SUITE 110",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895194",
            "telephone_number": "346-800-6001",
            "fax_number": "346-800-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SPRING STUEBNER RD",
            "address_2": "SUITE 110",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895194",
            "telephone_number": "346-800-6001",
            "fax_number": "346-800-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13831 Northwest Fwy Ste 177",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770405224",
            "country_code": "US",
            "telephone_number": "346-800-6001",
            "fax_number": "346-800-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11925 Southwest Fwy Ste 1-C",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774772300",
            "country_code": "US",
            "telephone_number": "346-800-6001",
            "fax_number": "346-800-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12827 Gulf Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770344807",
            "country_code": "US",
            "telephone_number": "346-800-6001",
            "fax_number": "346-800-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Kingwood Executive Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392752",
            "country_code": "US",
            "telephone_number": "346-800-6001",
            "fax_number": "346-800-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINIVASIVE PAIN SPECIALISTS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "346-800-6001",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minivasive Pain & Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.