Provider Demographics
NPI:1023363017
Name:MULTISPECIALTY GROUP OF TEXAS, P.A.
Entity Type:Organization
Organization Name:MULTISPECIALTY GROUP OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CAREY
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-981-5515
Mailing Address - Street 1:11233 SHADOW CREEK PKWY
Mailing Address - Street 2:SUITE 313
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7345
Mailing Address - Country:US
Mailing Address - Phone:832-230-8100
Mailing Address - Fax:
Practice Address - Street 1:11233 SHADOW CREEK PKWY
Practice Address - Street 2:SUITE 313
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7345
Practice Address - Country:US
Practice Address - Phone:832-230-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RR0500X
TXE7236208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty