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NPI Code Detail

MEDICARE: BRAZOS PAIN MANAGEMENT PA

MEDICARE: BRAZOS PAIN MANAGEMENT PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine PhysicianJ0837TX
2207LP2900XPain Medicine (Anesthesiology) PhysicianJ0837TX

General Provider Information

NPI Number : 1205088465
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAZOS PAIN MANAGEMENT PA
Provider Business Mailing Address
First Line : 2225 WILLIAMS TRACE BLVD
Second Line : SUITE 108
City : SUGAR LAND
State : TX
Zip : 77478-4440
Country : US
Telephone Number : 281-240-4300
Fax Number : 281-240-4353
Provider Business Practice Location Address
First Line : 2225 WILLIAMS TRACE BLVD
Second Line : SUITE 108
City : SUGAR LAND
State : TX
Zip : 77478-4440
Country : US
Telephone Number : 281-240-4300
Fax Number : 281-240-4353
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : CHERYL D WHITE
Credential : MD
Telephone Number : 281-240-4300
Provider Enumeration Date : 10/21/2008
Last Update Date : 03/07/2011

Similar Medicare Providers

1679754725 — MAAZ ABBASI M.D.
Practice Location Address:
2225 WILLIAMS TRACE BLVD STE 110
SUGAR LAND, TX
77478-4440
Practice Phone: 281-491-1911
Practice Fax: 281-764-6642
1679437222 — NICHOLE MARGARET RODRIGUEZ APRN, AGNP-C
Practice Location Address:
2225 WILLIAMS TRACE BLVD STE 108
SUGAR LAND, TX
77478-4440
Practice Phone: 832-789-4569
Practice Fax:
1396853982 — DR. KEVIN J LARKS D.C.
Practice Location Address:
2225 WILLIAMS TRACE BLVD , STE 102
SUGAR LAND, TX
77478-4440
Practice Phone: 281-494-4444
Practice Fax: 281-494-2117
1952461501 — DR. JENNIFER L WANG
Practice Location Address:
2225 WILLIAMS TRACE BLVD STE 101
SUGAR LAND, TX
77478-4440
Practice Phone: 281-980-5090
Practice Fax:
1467620435 — DR. RAYMOND M CHUI D.D.S.
Practice Location Address:
2225 WILLIAMS TRACE BLVD STE 101
SUGAR LAND, TX
77478-4440
Practice Phone: 281-980-5090
Practice Fax:
1730346966 — DR. TED LIN MD
Practice Location Address:
2225 WILLIAMS TRACE BLVD STE 108
SUGAR LAND, TX
77478-4440
Practice Phone: 281-240-4300
Practice Fax:

Directions to “BRAZOS PAIN MANAGEMENT PA ” Practice Location

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