Provider Demographics
NPI:1336252469
Name:NORTH HOUSTON PAIN CENTER LLC
Entity Type:Organization
Organization Name:NORTH HOUSTON PAIN CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-446-4878
Mailing Address - Street 1:24018 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1536
Mailing Address - Country:US
Mailing Address - Phone:281-446-4878
Mailing Address - Fax:281-446-4664
Practice Address - Street 1:24018 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1536
Practice Address - Country:US
Practice Address - Phone:281-446-4878
Practice Address - Fax:281-446-4664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153474501Medicaid
TX153474501Medicaid