Provider Demographics
NPI:1730906801
Name:TEXAS PAIN & SPINE SOLUTION LLC
Entity type:Organization
Organization Name:TEXAS PAIN & SPINE SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAKEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD NNEKA EDOKPAYI
Authorized Official - Phone:832-576-7579
Mailing Address - Street 1:11301 RICHMOND AVE STE K109
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5549
Mailing Address - Country:US
Mailing Address - Phone:346-571-0299
Mailing Address - Fax:346-571-6898
Practice Address - Street 1:11301 RICHMOND AVE STE K109
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5549
Practice Address - Country:US
Practice Address - Phone:346-571-0299
Practice Address - Fax:346-571-6898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty