Provider Demographics
NPI:1083012058
Name:MUNSHI MODERN PAIN, PLLC
Entity Type:Organization
Organization Name:MUNSHI MODERN PAIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMER
Authorized Official - Middle Name:FAROOQUE
Authorized Official - Last Name:MUNSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-481-8557
Mailing Address - Street 1:12553 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4509
Mailing Address - Country:US
Mailing Address - Phone:281-481-8557
Mailing Address - Fax:281-484-7916
Practice Address - Street 1:12553 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4509
Practice Address - Country:US
Practice Address - Phone:281-481-8557
Practice Address - Fax:281-484-7916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9659208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty