Organization
ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MAY KEEPERS M.D. (PRESIDENT)
(713) 943-7246
Entity
Organization
Contact information
Practice address
308 W PARKWOOD AVE, STE 106, FRIENDSWOOD, TX 77546-5478
(713) 943-7246
(713) 943-0167
Mailing address
PO BOX 5807, KINGWOOD, TX 77325-5807
(713) 943-7246
(713) 943-0167
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10023613
AMERIGROUP STAR PLUS
TX
05
—
177211301
—
TX
01
—
26JS
BLUE CROSS BLUE SHIELD
TX
01
—
352434000
US DEPARTMENT OF LABOR
TX
01
—
CD8579
PALMETTO GBA
TX
Enumeration date
07/12/2006
Last updated
04/01/2014
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