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NPI Code Detail

MEDICARE: NORTHSIDE PAIN RELIEF CENTER

MEDICARE: NORTHSIDE PAIN RELIEF CENTER
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1801995337
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHSIDE PAIN RELIEF CENTER
Provider Business Mailing Address
First Line : 123 NORTHPOINT DR
Second Line :
City : HOUSTON
State : TX
Zip : 77060-3228
Country : US
Telephone Number : 281-445-6344
Fax Number : 281-445-8009
Provider Business Practice Location Address
First Line : 3033 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-3258
Country : US
Telephone Number : 713-652-0011
Fax Number : 713-652-0015
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MS. LAN T NGUYEN
Credential :
Telephone Number : 821-445-6344
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/22/2020

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Directions to “NORTHSIDE PAIN RELIEF CENTER ” Practice Location

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