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ST. MICHAEL'S PAIN AND SPINE CLINICS PLLC NPI 1710153408


NPI Information

NPI: 1710153408
Provider Name: ST. MICHAEL'S PAIN AND SPINE CLINICS PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 45D2043719

Address:
2646 S, LOOP WEST STE 106
HOUSTON, TX
ZIP 77054
Phone: (713) 661-0300
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ST. MICHAEL'S PAIN AND SPINE CLINICS PLLC is an interventional pain medicine pain medicine in Houston, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ST. MICHAEL'S PAIN AND SPINE CLINICS PLLC NPI is 1710153408. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2646 S, LOOP WEST STE 106
HOUSTON, TX
ZIP 77054-901
Phone: (713) 661-0300
Fax: (281) 822-0480

The provider's authorized official is Miguel Angel Pappolla .
The authorized official title is Owner and has the following contact phone number (713) 661-0300.

The CLIA number assigned to this NPI record is 45D2043719 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 4/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100Z680MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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