Organization
INTEGRATED HEADACHE AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD AZZAM (OWNER)
(832) 858-6531
Entity
Organization
Contact information
Practice address
401 W FAIRMONT PKWY STE D, LA PORTE, TX 77571-6314
(832) 858-6531
Mailing address
1120 NASA PKWY, 220Q, HOUSTON, TX 77058-3342
(832) 240-3370
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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