Provider Demographics
NPI:1285849687
Name:PAIN AND HEALTH MANAGEMENT CENTER, P.A.
Entity Type:Organization
Organization Name:PAIN AND HEALTH MANAGEMENT CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARBINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-461-8555
Mailing Address - Street 1:PO BOX 201060
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-1060
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9055 KATY FWY
Practice Address - Street 2:SUITE 311
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1624
Practice Address - Country:US
Practice Address - Phone:713-461-8555
Practice Address - Fax:713-461-8596
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAIN AND HEALTH MANAGEMENT CENTER, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-11
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3168208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113557601Medicaid
TX88630ZOtherBCBS TX
TX88630ZOtherBCBS TX