# LAKE HOUSTON INTERVENTIONAL PAIN PLLC

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

## Provider details

- **NPI number:** 1528795150
- **Authorized official:** CRAIG A CHARLESTON MD (AUTHORIZED OFFICIAL / MD)
- **Authorized official phone:** (281) 713-5556

## Contact information

- **Practice address:** 7040 FM 1960 RD E, HUMBLE, TX 77346-2704
- **Practice address phone:** (281) 713-5556
- **Practice address fax:** (409) 554-0921
- **Mailing address:** 7040 FM 1960 RD E, HUMBLE, TX 77346-2704
- **Mailing address phone:** (281) 713-5556
- **Mailing address fax:** (409) 554-0921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 08/03/2022
