Integrated Headache and Pain Management

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

INTEGRATED HEADACHE AND PAIN MANAGEMENT

Practice address

401 W Fairmont Pkwy Ste D
La Porte, TX 77571-6314

Phone

(832) 858-6531

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Mohamad Azzam

Title

Owner

Phone

(832) 858-6531

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1649707548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY",
            "address_2": "220Q",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583342",
            "fax_number": "832-240-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FAIRMONT PKWY STE D",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716314",
            "telephone_number": "832-858-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEADACHE AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-858-6531"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houston Mint Dentistry, PLLC (La Porte Mint Dentistry)
• Christy Dawn Hudson, PTA
• Infinite Athlete Physical Therapy
• Infinity Chiropractic Clinic LLC
• Infinity Diagnostics, LLC
• Reny Jacob Issac, PHARM D
• Arthur Ray Jackson
• Carmela Niamey James
• Madison Jenkins, SLP
• Jasmine Johnson

• Pain Medicine (Anesthesiology) Physician in La Porte, TX
• Providers in La Porte, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.