Maximum Pain Relief Support Center, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MAXIMUM PAIN RELIEF SUPPORT CENTER, PLLC

Practice address

2802 Garth Rd Ste 109
Baytown, TX 77521-3924

Phone

(281) 766-8660

Fax

(281) 766-8660

NPI assigned

Aug 11, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deric Outley

Title

Principal

Phone

(713) 498-2112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1528733581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065453",
            "telephone_number": "713-498-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD STE 109",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213924",
            "telephone_number": "281-766-8660",
            "fax_number": "281-766-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PAIN RELIEF SUPPORT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "OUTLEY",
        "authorized_official_first_name": "DERIC",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "713-498-2112"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacy Mathis
• Matt R Khoshnevis MD PA (Baytown Chest Clinic)
• Amanda L Matt, PT
• Pprecious Matthew, SLP
• Athena Mavreas, NP
• Jessica Mayol
• Rachael McAllister, NP
• Lora Louise McCamey, OTR
• Meghan McCarty, DPT
• Reagan McCawley

• Pain Clinic/Center in Baytown, TX
• Providers in Baytown, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.