Organization Active NPI

Premier Pain & Wellness Center PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1487941043
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
N5439 Issued in TX
Legal business name
PREMIER PAIN & WELLNESS CENTER PLLC
Practice address
1398 Eldridge Pkwy
Suite 100
Houston, TX 77077-2547
Phone
(409) 939-9940
NPI assigned
Jul 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Vu Phi Tran, MDNPI 1184828774
Title
Sole Member Owner
Phone
(409) 939-9940

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X N5439 TX Primary

Addresses

Primary practice location

1398 Eldridge Pkwy
Suite 100
Houston, TX 77077-2547

Mailing address

1398 Eldridge Pkwy
Suite 100
Houston, TX 77077-2547
Phone (409) 939-9940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111031000522 TX Part B Supplier - Clinic/Group Practice 8628241015 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1398 Eldridge Pkwy
Ste 100
Houston, TX 77077
Phone (281) 606-3223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1487941043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 ELDRIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772547",
            "telephone_number": "409-939-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 ELDRIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772547",
            "telephone_number": "409-939-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN & WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "PHI",
        "authorized_official_title_or_position": "SOLE MEMBER OWNER",
        "authorized_official_telephone_number": "409-939-9940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "N5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.