Organization
PEARLAND BACK AND NECK CLINIC
Active
Parent organization
HOUSTON BACK AND NECK CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON BACK AND NECK CLINIC
Authorized official
ABRAHAM GREGORY THOMAS MD (OWNER)
(281) 347-7246
Entity
Organization
Contact information
Practice address
10950 MEMORIAL HERMANN DR, STE 203, PEARLAND, TX 77584
(281) 347-7246
(281) 347-7250
Mailing address
10950 MEMORIAL HERMANN DR, STE 203, PEARLAND, TX 77584
(281) 347-7246
(281) 347-7250
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
J1578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB104569
MEDICARE PTAN
TX
Enumeration date
12/09/2010
Last updated
12/09/2010
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