Provider Demographics
NPI:1316548878
Name:FRIENDSWOOD INTERVENTIONAL PAIN AND WELLNESS PLLC
Entity type:Organization
Organization Name:FRIENDSWOOD INTERVENTIONAL PAIN AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MURATTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:256-504-8374
Mailing Address - Street 1:15223 PARK ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-3657
Mailing Address - Country:US
Mailing Address - Phone:256-504-5232
Mailing Address - Fax:
Practice Address - Street 1:15223 PARK ESTATES LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-3657
Practice Address - Country:US
Practice Address - Phone:256-504-5232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty