Organization
SOUTHEAST TEXAS INSTITUTE OF PAIN MANAGEMENTP.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHYASUDDIN SYED MD (DIRECTOR)
(281) 422-5500
Entity
Organization
Contact information
Practice address
2802 GARTH RD STE 109, BAYTOWN, TX 77521-3924
(281) 422-5500
(281) 422-5560
Mailing address
5714 COMAL PARK CT, HOUSTON, TX 77059
(713) 240-3685
(281) 422-5560
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087KB
BCBS PROVIDER NUMBER
TX
05
—
1043313315
—
TX
05
—
160479501
—
TX
Enumeration date
09/05/2006
Last updated
02/26/2020
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