Provider Demographics
NPI:1497301386
Name:SKILLED PAIN CARE CLINIC, P.A.
Entity Type:Organization
Organization Name:SKILLED PAIN CARE CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:M
Authorized Official - Last Name:NASIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-533-8872
Mailing Address - Street 1:2050 NORTH LOOP W STE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8143
Mailing Address - Country:US
Mailing Address - Phone:832-533-8872
Mailing Address - Fax:
Practice Address - Street 1:2840 COMMERCIAL CENTER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6412
Practice Address - Country:US
Practice Address - Phone:832-533-8872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SKILLED PAIN CARE CLINIC, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-15
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty