MYOFASCIAL PAIN CENTER (NPI# 1770861452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770861452 |
| Entity Type | Organization |
| Organization Name | MYOFASCIAL PAIN CENTER |
| Other Organization Name | ADVANCED MUSCLE CARE PC |
| Practice Address |
1140 Business Center Dr. Ste. 580 Houston TX 77043 |
| Mailing Address |
11231 Richmond Ave # D110 Houston TX 77082 |
| Practice Telephone | 2814967246 |
| Practice Fax Number | 2814967244 |
| Mailing Telephone | 2814967246 |
| Mailing Fax Number | 2814967244 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |
| Authorized Official Name | MARVIN JOINER (OWNER) |
| Authorized Official Telephone | 2814967246 |
| Authorized Official Credential | MHT,LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 017023 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 017023 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Muscle Care PC | Doing Business As Name - Organization |
| Street Address |
1140 BUSINESS CENTER DR. STE. 580 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| 1821312695 | Advocates for The Independent LLC | In Home Supportive Care | 1812 W Sam Houston Pkwy N, Houston, TX 77043 | 2010-03-22 |
| Find all providers in zip 77043 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585983 | Trenton Garrett | Rehabilitation Practitioner | 15530 Ella Blvd Apt 218, Houston, TX 77090-5308 | 2020-07-11 |
| 1356901219 | Chris Ann Webb | Rehabilitation Practitioner | 12301 Main St., Professionals Unit, Houston, TX 77035 | 2019-06-13 |
| 1649773870 | Bardia Shemiranipour | Rehabilitation Practitioner | 8716 Long Point Rd # 213, Houston, TX 77055-3043 | 2018-03-14 |
| 1306292008 | Randy Lee Carson | Rehabilitation Practitioner | 11911 Jones Rd Ste 7, Houston, TX 77070-5232 | 2016-05-11 |
| 1033489729 | Tanja Glaub | Rehabilitation Practitioner | 5206 Airline Dr, Suite D, Houston, TX 77022-1959 | 2012-01-11 |
| 1659686947 | Jon-michael Resurreccion Ong | Rehabilitation Practitioner | 508 W Clay St, Apt A, Houston, TX 77019-4662 | 2010-08-11 |
| 1538482799 | Melissa Kaye Pierce | Rehabilitation Practitioner | 2656 S Loop W Ste 170, Houston, TX 77054-2664 | 2010-03-02 |
| 1184868358 | Montecito Allied Health, LLC | Rehabilitation Practitioner | 2213 S Braeswood Blvd # 31a, Houston, TX 77030-4321 | 2009-05-01 |
| 1316066996 | Norma Santos Mendoza | Rehabilitation Practitioner | 3107 Noble Lakes Ln, Houston, TX 77082-6810 | 2007-03-28 |
| 1194857821 | Michael Graves | Rehabilitation Practitioner | 4141 Southwest Fwy Ste 510, Houston, TX 77027-7334 | 2007-03-09 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.