Active NPI
Pasadena Pain Management Consultants, PA.
- Interventional Pain Medicine Physician
- Beaumont, TX
National Provider Identifier
1972757706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PASADENA PAIN MANAGEMENT CONSULTANTS, PA.
- Doing business as
- Interventional Pain Specialists - Beaumont
- Practice address
- 155 Ih 10 N Ste 1
Beaumont, TX 77707-2550 - Phone
- (409) 838-4263
- Fax
- (409) 838-4931
- NPI assigned
- Nov 6, 2008
- 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
- Jose R. Reyes Jr., M.D.
- Title
- Medical Director
- Phone
- (281) 991-2200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
155 Ih 10 N Ste 1
Beaumont, TX 77707-2550
Mailing address
PO Box 5607
Pasadena, TX 77508-5607
Phone (281) 991-2200
Other names 1
- Interventional Pain Specialists - Beaumont
National Provider Directory
National Provider DirectoryLocations
155 Interstate 10 N
Ste 1
Beaumont, TX 77707
Phone (409) 838-4263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332460800000",
"number": "1972757706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5607",
"city": "PASADENA",
"state": "TX",
"postal_code": "775085607",
"telephone_number": "281-991-2200",
"fax_number": "281-991-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 IH 10 N STE 1",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072550",
"telephone_number": "409-838-4263",
"fax_number": "409-838-4931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASADENA PAIN MANAGEMENT CONSULTANTS, PA.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-06",
"last_updated": "2012-03-23",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "281-991-2200",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interventional Pain Specialists - Beaumont",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.