Provider Demographics
NPI:1659347276
Name:ASSOCIATED PAIN MEDICINE, PA
Entity Type:Organization
Organization Name:ASSOCIATED PAIN MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:KIEN
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-455-8646
Mailing Address - Street 1:11209 BELLAIRE BLVD
Mailing Address - Street 2:C-31
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2539
Mailing Address - Country:US
Mailing Address - Phone:832-455-8646
Mailing Address - Fax:281-988-9990
Practice Address - Street 1:11209 BELLAIRE BLVD
Practice Address - Street 2:STE C-31
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2539
Practice Address - Country:US
Practice Address - Phone:832-455-8646
Practice Address - Fax:281-988-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0960261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI36135Medicare UPIN