Provider Demographics
NPI:1205881463
Name:GREATER HOUSTON INTERVENTIONAL PAIN ASSOCIATES
Entity type:Organization
Organization Name:GREATER HOUSTON INTERVENTIONAL PAIN ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOBEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-622-1700
Mailing Address - Street 1:4747 BELLAIRE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4515
Mailing Address - Country:US
Mailing Address - Phone:713-622-1700
Mailing Address - Fax:713-877-0672
Practice Address - Street 1:4747 BELLAIRE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4515
Practice Address - Country:US
Practice Address - Phone:713-622-1700
Practice Address - Fax:713-877-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177566001Medicaid
TX00680YMedicare PIN
TX177566001Medicaid