Healthcare Provider Details
I. General information
NPI: 1457673055
Provider Name (Legal Business Name): PAIN MONITORING CONSULTANTS LP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2010
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1449 HIGHWAY 6 SUITE 300
SUGAR LAND TX
77478-5145
US
IV. Provider business mailing address
1449 HIGHWAY 6 SUITE 300
SUGAR LAND TX
77478-5145
US
V. Phone/Fax
- Phone: 281-768-6730
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZE0600X |
| Taxonomy | Electroneurodiagnostic Specialist/Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GEORGE
EDWARD
BRETZ
Title or Position: GENERAL PARTNER
Credential:
Phone: 281-768-6730