Provider Demographics
NPI:1538115076
Name:BAYOU CITY PAIN CONSULTANTS
Entity type:Organization
Organization Name:BAYOU CITY PAIN CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-622-1700
Mailing Address - Street 1:4747 BELLAIRE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4515
Mailing Address - Country:US
Mailing Address - Phone:713-622-1700
Mailing Address - Fax:832-532-4321
Practice Address - Street 1:4747 BELLAIRE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4515
Practice Address - Country:US
Practice Address - Phone:713-622-1700
Practice Address - Fax:832-532-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180065801Medicaid
TX00462ZMedicare PIN