Provider Demographics
NPI:1518522895
Name:MODERN ACUTE PAIN & ANESTHESIA SERVICES PLLC
Entity Type:Organization
Organization Name:MODERN ACUTE PAIN & ANESTHESIA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MICHEL
Authorized Official - Last Name:ATALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-298-0120
Mailing Address - Street 1:902 FROSTWOOD DR STE 235
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2417
Mailing Address - Country:US
Mailing Address - Phone:713-298-0120
Mailing Address - Fax:713-513-5303
Practice Address - Street 1:902 FROSTWOOD DR STE 235
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2417
Practice Address - Country:US
Practice Address - Phone:713-298-0120
Practice Address - Fax:713-513-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty