Provider Demographics
NPI:1871563726
Name:PINCHOT, HARRISON KEITH (MD)
Entity type:Individual
Prefix:
First Name:HARRISON
Middle Name:KEITH
Last Name:PINCHOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 COURTLANDT PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4013
Mailing Address - Country:US
Mailing Address - Phone:713-504-3072
Mailing Address - Fax:
Practice Address - Street 1:13 COURTLANDT PL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4013
Practice Address - Country:US
Practice Address - Phone:713-504-3072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7207207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX50033014OtherRAILROAD MEDICARE
TX82V861OtherBLUE CROSS/BLUE SHIELD
TXB0073835OtherDPS
TX123042702Medicaid
TX123042702Medicaid
TX123042702Medicaid
A63969Medicare UPIN