# ADVANCED PAIN MANAGEMENT & WELLNESS CENTER P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Viva Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770192577
- **Authorized official:** DR. MOUSTAFA MOHAMED AHMED MD (OWNER)
- **Authorized official phone:** (856) 581-6114

## Contact information

- **Practice address:** 11707 CRESCENT COVE DR, PEARLAND, TX 77584-3282
- **Practice address phone:** (856) 581-6114
- **Mailing address:** 11707 CRESCENT COVE DR, PEARLAND, TX 77584-3282
- **Mailing address phone:** (856) 581-6114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2020
- **Last updated:** 05/18/2022