Organization
PAIN MANAGEMENT CYPRESS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM QAYUM MD (OWNER)
(832) 781-2690
Entity
Organization
Contact information
Practice address
9740 BARKER CYPRESS RD STE 108B, CYPRESS, TX 77433-1974
(832) 781-2690
(832) 409-3169
Mailing address
9740 BARKER CYPRESS RD STE 108B, CYPRESS, TX 77433-1974
(832) 781-2690
(832) 409-3169
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1492701
—
TX
Enumeration date
09/27/2018
Last updated
09/27/2018
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