Advanced Invasive Pain Management of Houston PA
Organization Active NPI Specialist · Beaumont, TX
NPI 1669407235 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1669407235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
- Practice address
- 755 S 11TH St
Suite 219
Beaumont, TX 77701-3732 - Phone
- (409) 835-4400
- Fax
- (409) 835-8801
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Jerry May Keepers, M.D.
- Title
- President
- Phone
- (713) 943-7246
Corporate family (same tax ID) 18
Practitioners 1
-
John Robert Sebok, D.O.
National Provider Directory
- Tax ID family
- Advanced Invasive Pain Management of Houston PA
Locations
755 S 11th St
Ste 219
Beaumont, TX 77701
Phone (409) 835-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
755 S 11TH St
Suite 219
Beaumont, TX 77701-3732
Mailing address
PO Box 5807
Kingwood, TX 77325-5807
Phone (713) 943-7246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX |
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.