Provider Demographics
NPI:1497954770
Name:PAIN REDUCTION CENTER, P.A.
Entity Type:Organization
Organization Name:PAIN REDUCTION CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:TIONGSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-665-6076
Mailing Address - Street 1:4543 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 189
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3160
Mailing Address - Country:US
Mailing Address - Phone:713-665-6076
Mailing Address - Fax:713-665-8866
Practice Address - Street 1:4543 POST OAK PLACE DR
Practice Address - Street 2:SUITE 189
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3160
Practice Address - Country:US
Practice Address - Phone:713-665-6076
Practice Address - Fax:713-665-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9828174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG21175Medicare UPIN