Provider Demographics
NPI:1922690122
Name:GALLERIA PAIN PHYSICIANS PLLC
Entity Type:Organization
Organization Name:GALLERIA PAIN PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-885-6752
Mailing Address - Street 1:PO BOX 690572
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-0572
Mailing Address - Country:US
Mailing Address - Phone:281-646-9252
Mailing Address - Fax:281-817-1179
Practice Address - Street 1:707 S FRY RD STE 290
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2258
Practice Address - Country:US
Practice Address - Phone:281-646-9252
Practice Address - Fax:281-817-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty