OrganizationActive
Lakes Area Pain and Rehab PLLC
NPI 1104128743 · Interventional Pain Medicine Physician · Beaumont, TX
Provider details
- NPI number
- 1104128743
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Charleston, Partner(409) 892-4600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
755 N 11th St Ste P2280
Beaumont, TX 77702-1525
Phone: (409) 892-4600
Fax: (409) 892-4605
Street-level locationGet directions
Mailing address
755 N 11th St Ste P2280
Beaumont, TX 77702-1525
Other names (DBA / former)
- Other name
- Lakes Area Pain and Rehab
Registry dates
- Enumerated
- 2010-12-02
- Last updated
- 2010-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.