Organization
MAXIMUM PAIN RELIEF SUPPORT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIC OUTLEY (PRINCIPAL)
(713) 498-2112
Entity
Organization
Contact information
Practice address
2802 GARTH RD STE 109, BAYTOWN, TX 77521-3924
(281) 766-8660
(281) 766-8660
Mailing address
1319 RICHMOND AVE, HOUSTON, TX 77006-5453
(713) 498-2112
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/17/2021
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