Organization
GREATER HOUSTON PAIN CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN JACKSON RALSTON III M.D, (PRESIDENT)
(713) 620-4000
Entity
Organization
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 458-4269
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 458-4269
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206448701
—
TX
Enumeration date
03/03/2009
Last updated
08/20/2014
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