Provider Demographics
NPI:1902466519
Name:HOUSTON REGIONAL PAIN AND REGENERATIVE MEDICINE PLLC
Entity Type:Organization
Organization Name:HOUSTON REGIONAL PAIN AND REGENERATIVE MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHET
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-558-4677
Mailing Address - Street 1:2117 DICKEY PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6009
Mailing Address - Country:US
Mailing Address - Phone:814-557-4677
Mailing Address - Fax:
Practice Address - Street 1:15555 CREEK BEND RD
Practice Address - Street 2:UNIT 200
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:814-557-4677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty