Provider Demographics
NPI:1619223914
Name:PAIN SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PAIN SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUIA
Authorized Official - Middle Name:AVECILLA
Authorized Official - Last Name:AYERAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:281-725-7603
Mailing Address - Street 1:8810 BONHOMME RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-6720
Mailing Address - Country:US
Mailing Address - Phone:281-725-7603
Mailing Address - Fax:
Practice Address - Street 1:4002 BURKE RD
Practice Address - Street 2:SUITE - PT (PHYSICAL THERAPY)
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3451
Practice Address - Country:US
Practice Address - Phone:281-725-7603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-3952-7261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy