# SAMBASIVAN, PLLC

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

## Provider details

- **NPI number:** 1316792831
- **Authorized official:** AJAI SAMBASIVAN MD (MANAGING MEMBER)
- **Authorized official phone:** (512) 913-8242

## Contact information

- **Practice address:** 810 WAUGH DR STE 200, HOUSTON, TX 77019-2013
- **Practice address phone:** (713) 522-5111
- **Practice address fax:** (713) 522-6111
- **Mailing address:** 5213 LAUREL ST, BELLAIRE, TX 77401-3926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/18/2024