OrganizationPain Management Associates, PaPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address13636 Breton Ridge St Ste D, Houston, TX 77070-6077(832) 688-9160PECOS EnrollmentBased on the most recent information from CMS, provider Pain Management Associates, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1326283300Provider TypeOrganizationFull NamePain Management Associates, PaSubpartNoEnumeration Date12/4/2008Last Updated8/11/2020Contact InformationPractice LocationPractice Address13636 Breton Ridge St Ste D, Houston, TX 77070-6077Phone(832) 688-9160Fax(832) 688-9251Mailing LocationMailing Address13636 Breton Ridge St Ste D, Houston, TX 77070-6077Phone(832) 688-9160Fax(832) 688-9251Authorized OfficialNameKorivi, Naveendra (Physician)Phone(832) 688-9160Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseL1360TexasProvider IdentifiersIDDescriptionIssuerIDDU6520DescriptionOtherIssuerRR MCR GROUP PTANTexasID0088SADescriptionOtherIssuerBCBS GROUP RECORD IDTexasID0A4705DescriptionOtherIssuerMEDICARE GROUP PTANTexas