ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON PA
Psychiatric at Fannin St, Houston, TX

License number
Texas L1737
Category
Medical Practice
Type
Pain Medicine
License number
Texas G1453
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DR. JERRY M KEEPERS MD
Title: PRESIDENT
Phone: (713) 943-7246
Address
Address 2
7400 Fannin St, Houston, TX 77054
PO Box 5807, Humble, TX 77325
National Provider ID: 1609106509
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON, PA

Humble, TX  -  Houston, TX

Registration:
Jun 20, 2002
Addresses:
2203 Long Vly Dr, Kingwood, TX 77345 (Mailing)
1900 W Loop S, Houston, TX 77027
State ID:
0800096351
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary:
Jerry M. Keepers (President , Treasurer , Director , Member , Secretary)
Agent:
Joseph W. Dicecco,1900 W Loop S SUITE 1000, Houston, TX 77027 (Physical)
TIN:
17215351770

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