Organization
INTERVENTIONAL PAIN SPECIALISTS, PLLC
Active
Other names
Principle Spine and Pain
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MONROE DIETER (CEO)
(832) 524-5355
Entity
Organization
Contact information
Practice address
6243 FAIRMONT PKWY STE 200, PASADENA, TX 77505-4047
(281) 991-2200
(281) 991-7700
Mailing address
16840 BUCCANEER LN STE 261, HOUSTON, TX 77058-2570
(281) 991-2200
(281) 991-7700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
03/13/2023
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