Provider Demographics
NPI:1932211992
Name:TEXAS PAIN CONSULTANTS, LLP
Entity Type:Organization
Organization Name:TEXAS PAIN CONSULTANTS, LLP
Other - Org Name:TEXAS PAIN CONSULTANT ASSOCIATES, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-412-9709
Mailing Address - Street 1:16605 SOUTHWEST FWY STE 550
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3792
Mailing Address - Country:US
Mailing Address - Phone:281-201-8818
Mailing Address - Fax:713-337-7261
Practice Address - Street 1:16605 SOUTHWEST FWY STE 550
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3792
Practice Address - Country:US
Practice Address - Phone:281-201-8818
Practice Address - Fax:713-337-7261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0055207LP2900X
207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB131496Medicare PIN
TXTXB131495Medicare PIN