Provider Demographics
NPI:1659987576
Name:GREATER HOUSTON PAIN & INJURY, INC
Entity Type:Organization
Organization Name:GREATER HOUSTON PAIN & INJURY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-598-7000
Mailing Address - Street 1:PO BOX 1641
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-1641
Mailing Address - Country:US
Mailing Address - Phone:281-598-7000
Mailing Address - Fax:281-598-7003
Practice Address - Street 1:4411 BLUEBONNET DR STE 100
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2912
Practice Address - Country:US
Practice Address - Phone:281-578-7000
Practice Address - Fax:281-578-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain