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NPI Code Detail

MEDICARE: 123 INTERNATIONAL PAIN LLC

MEDICARE: 123 INTERNATIONAL PAIN LLC
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
1207LP2900XPain Medicine (Anesthesiology) Physician
2207X00000XOrthopaedic Surgery Physician
3207XS0117XOrthopaedic Surgery of the Spine Physician
4208VP0000XPain Medicine Physician
5208VP0014XInterventional Pain Medicine Physician
6207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1013859578
Entity Type Code : Organization
Provider Name (Legal Business Name) : 123 INTERNATIONAL PAIN LLC
Provider Business Mailing Address
First Line : 41 W HIGHWAY 14 UNIT 3760
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7051 FM 1464 RD
Second Line :
City : RICHMOND
State : TX
Zip : 77407-9542
Country : US
Telephone Number : 281-824-1885
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. NEAL KUMAR AGARWAL
Credential : MD
Telephone Number : 832-276-6088
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “123 INTERNATIONAL PAIN LLC ” Practice Location

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