# PROCURA PAIN AND SPINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245663848
- **Authorized official:** KENNETH QIAN WU MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (713) 714-1399

## Contact information

- **Practice address:** 111 VISION PARK BLVD STE 100, SHENANDOAH, TX 77384-3003
- **Practice address phone:** (713) 714-1399
- **Practice address fax:** (713) 389-5798
- **Mailing address:** 111 VISION PARK BLVD STE 100, SHENANDOAH, TX 77384-3003
- **Mailing address phone:** (713) 714-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 204R00000X | Electrodiagnostic Medicine Physician | — | NULL | — |
| 204R00000X | Electrodiagnostic Medicine Physician | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | P0796 | TX | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 11/14/2025