Provider Demographics
NPI:1992034870
Name:SKILLED PAIN CARE CLINIC PA
Entity Type:Organization
Organization Name:SKILLED PAIN CARE CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MOHAMMAD
Authorized Official - Last Name:NASIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-533-8872
Mailing Address - Street 1:2050 NORTH LOOP W STE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8143
Mailing Address - Country:US
Mailing Address - Phone:832-533-8872
Mailing Address - Fax:
Practice Address - Street 1:2050 NORTH LOOP W STE 135
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8143
Practice Address - Country:US
Practice Address - Phone:832-533-8872
Practice Address - Fax:713-380-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty