Provider Demographics
NPI:1710501275
Name:PAIN AND HEADACHE CENTERS OF TEXAS PLLC
Entity Type:Organization
Organization Name:PAIN AND HEADACHE CENTERS OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SATIJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-831-7800
Mailing Address - Street 1:3811 RUSKIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-4330
Mailing Address - Country:US
Mailing Address - Phone:972-365-5434
Mailing Address - Fax:
Practice Address - Street 1:1313 LA CONCHA LN STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1809
Practice Address - Country:US
Practice Address - Phone:832-831-7800
Practice Address - Fax:832-831-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1336542513Other1336542513