NPI age
12 years
Enumerated 2014-01-28
Across 319 active pain medicine providers in Texas.
1 secondary location on file with NPPES.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | S1757 | STATE LICENSE |
| 05 (PA) | 1029530880001 |
Multi-provider organization. 5 individual providers on file at this primary address. Plus 1 secondary practice location.
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