Healthcare Provider Details

I. General information

NPI: 1275773384
Provider Name (Legal Business Name): BEST PAIN RELIEF AND INJURY CLINIC - AUTO ACCIDENT INJURY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 CANDELARIA RD NE STE K
ALBUQUERQUE NM
87107-1952
US

IV. Provider business mailing address

216 SANGRE DE CRISTO
CEDAR CREST NM
87008-9525
US

V. Phone/Fax

Practice location:
  • Phone: 505-323-2114
  • Fax: 505-332-9483
Mailing address:
  • Phone: 505-300-6390
  • Fax: 505-332-9483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1714
License Number StateNM

VIII. Authorized Official

Name: MRS. KAREN S LARISON
Title or Position: OFFICE MANAGER
Credential:
Phone: 505-300-6390