Organization Active NPI

Michael S Gorback MD PA

Doing business as The Center for Pain Relief

  • Interventional Pain Medicine Physician
  • Webster, TX
National Provider Identifier
1609049014
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
J7502 Issued in TX
Legal business name
MICHAEL S GORBACK MD PA
Doing business as
The Center for Pain Relief
Practice address
17099 Texas Ave Ste 300
Webster, TX 77598-4039
Phone
(281) 554-3400
Fax
(281) 554-3404
NPI assigned
Apr 7, 2008
Organization subpart
Yes
Parent organization
MICHAEL S GORBACK, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Michael S Gorback, M.D.
Title
Owner
Phone
(281) 554-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X J7502 TX Primary

Addresses

Primary practice location

17099 Texas Ave Ste 300
Webster, TX 77598-4039

Mailing address

17099 Texas Ave Ste 300
Webster, TX 77598-4039
Phone (281) 554-3400

Other names 1

  • The Center for Pain Relief Doing business as

National Provider Directory

National Provider Directory
Part of
Michael S Gorback MD PA

Locations

17099 N Texas Ave
Ste 300
Webster, TX 77598
Phone (281) 554-3400

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1609049014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17099 TEXAS AVE STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984039",
            "telephone_number": "281-554-3400",
            "fax_number": "281-554-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17099 TEXAS AVE STE 300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984039",
            "telephone_number": "281-554-3400",
            "fax_number": "281-554-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S GORBACK MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL S GORBACK, M.D.",
        "enumeration_date": "2008-04-07",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "GORBACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-554-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.