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Organization
ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Active
Organization
ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MAY KEEPERS M.D. (PRESIDENT)
(713) 943-7246
Entity
Organization
Contact information
Practice address
308 W PARKWOOD AVE, STE 106, FRIENDSWOOD, TX 77546-5478
(713) 943-7246
(713) 943-0167
Mailing address
PO BOX 5807, KINGWOOD, TX 77325-5807
(713) 943-7246
(713) 943-0167
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10023613
AMERIGROUP STAR PLUS
TX
05
—
177211301
—
TX
01
—
26JS
BLUE CROSS BLUE SHIELD
TX
01
—
352434000
US DEPARTMENT OF LABOR
TX
01
—
CD8579
PALMETTO GBA
TX
Enumeration date
07/12/2006
Last updated
04/01/2014
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