MEDICARE: DIAGNOSTIC AND PAIN CONSULTANTS 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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1295114676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC AND PAIN CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	13514 BROADMEADOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1970
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 WILLIAMS TRACE BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4526
Country	:	US
Telephone Number	:	917-913-0244
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAUMAN JANGDA
Credential	:
Telephone Number	:	917-913-0244

Provider Enumeration Date	:	05/19/2015
Last Update Date	:	05/19/2015

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Directions to “DIAGNOSTIC AND PAIN CONSULTANTS LLC ” Practice Location

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