MEDICARE: ALL PAIN CLINIC

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	111N00000X	Chiropractor	DC 9086	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8R1290	OTHER	TX	BCBS OF TX

General Provider Information

NPI Number	:	1659406551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL PAIN CLINIC

Provider Business Mailing Address
First Line	:	11003 ANTOINE DR
Second Line	:	SUITE M
City	:	HOUSTON
State	:	TX
Zip	:	77086-1426
Country	:	US
Telephone Number	:	281-587-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	11003 ANTOINE DR
Second Line	:	SUITE M
City	:	HOUSTON
State	:	TX
Zip	:	77086-1426
Country	:	US
Telephone Number	:	281-587-0400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. TAI NGUYEN
Credential	:	D.C.
Telephone Number	:	281-547-0400

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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Directions to “ALL PAIN CLINIC ” Practice Location

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