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45D2164445 CLIA NUMBER - MODERN PAIN MANAGEMENT, PLLC

Laboratory Demographics

CLIA Number: 45D2164445

Facility Name: MODERN PAIN MANAGEMENT, PLLC

Facility Address:
12930 DAIRY ASHFORD DRIVE UNIT 501
SUGAR LAND, TX
ZIP 77478
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Facility Phone Number: 713 298-0120

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1952993560

Taxonomy: 208VP0000X - Pain Medicine
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

CLIA Record

Field Name Field Value
CLIA Number 45D2164445
LAB Type Physician Office
Facility Name MODERN PAIN MANAGEMENT, PLLC
Street 12930 DAIRY ASHFORD DRIVE UNIT 501
City SUGAR LAND
State TX
ZIP 77478
Phone 713 298-0120
CertificateType 4
CertificateEffectiveDate 4/5/2023
CertificateExpirationDate 4/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024