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Organization
GREATER HOUSTON PAIN CLINIC, PLLC
Active
Organization
GREATER HOUSTON PAIN CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN JACKSON RALSTON III M.D, (PRESIDENT)
(713) 620-4000
Entity
Organization
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 458-4269
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 458-4269
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206448701
—
TX
Enumeration date
03/03/2009
Last updated
08/20/2014
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