Organization
PAIN MANAGEMENT ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVEENDRA KORIVI D.O. (PHYSICIAN)
(832) 688-9160
Entity
Organization
Contact information
Practice address
13636 BRETON RIDGE ST STE D, HOUSTON, TX 77070-6077
(832) 688-9160
(832) 688-9251
Mailing address
13636 BRETON RIDGE ST STE D, HOUSTON, TX 77070-6077
(832) 688-9160
(832) 688-9251
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L1360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088SA
BCBS GROUP RECORD ID
TX
01
—
0A4705
MEDICARE GROUP PTAN
TX
01
—
DU6520
RR MCR GROUP PTAN
TX
Enumeration date
12/04/2008
Last updated
08/11/2020
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