Provider Demographics
NPI:1437321320
Name:NEXTGEN PAIN MANAGEMENT, P.A.
Entity Type:Organization
Organization Name:NEXTGEN PAIN MANAGEMENT, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BENHAMOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-531-7246
Mailing Address - Street 1:14770 MEMORIAL DR # 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5252
Mailing Address - Country:US
Mailing Address - Phone:281-531-7246
Mailing Address - Fax:281-531-4364
Practice Address - Street 1:14770 MEMORIAL DR # 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5252
Practice Address - Country:US
Practice Address - Phone:281-531-7246
Practice Address - Fax:281-531-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty