Active NPI
Greater Houston Pain Clinic, PLLC
- Pain Medicine Physician
- Houston, TX
National Provider Identifier
1972743953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- GREATER HOUSTON PAIN CLINIC, PLLC
- Practice address
- 2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- Fax
- (713) 458-4269
- NPI assigned
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alvin Jackson Ralston III, M.D,
- Title
- President
- Phone
- (713) 620-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone (713) 620-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206448701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1972743953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER HOUSTON PAIN CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "JACKSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-620-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D,"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206448701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Greater Houston Neurosurgical Association
- Greater Houston OB/GYN, L.L.P.
- Greater Houston Oncology PA
- Greater Houston Orhtopedic & Medical Supply, LLC
- Greater Houston Orthodontics PLLC
- Greater Houston Pain Consultants, PLLC
- Greater Houston Podiatry Services
- Greater Houston Primary Care PA
- Greater Houston Psychiatric Associates, PLLC
- Greater Houston Radiation Oncology PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.