NPIMap

Organization Active NPI

Advanced Pain and Headache Medical Clinic

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1659805976
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ADVANCED PAIN AND HEADACHE MEDICAL CLINIC
Practice address
4151 Southwest Fwy Ste 720
Houston, TX 77027-7308
Phone
(713) 530-0003
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Ibett Robles
Title
Manager
Phone
(713) 530-0003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

4151 Southwest Fwy Ste 720
Houston, TX 77027-7308

Mailing address

PO Box 980101
Houston, TX 77254

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1659805976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 SOUTHWEST FWY STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277308",
            "telephone_number": "713-530-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN AND HEADACHE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "IBETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-530-0003"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "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 Apr 13, 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.