Texas Pain Practice LLC

NPI #1073962593 in Cheyenne, Wyoming

Provider Information

NPI Number
1073962593
Entity Type
Organization
Organization Name
Texas Pain Practice LLC
Primary Specialty
Special Hospital
Enumeration Date
Jun 6, 2016
Last Updated
Jun 6, 2016

Practice Location

Address
1712 PIONEER AVE STE 500
State
Wyoming
ZIP Code
82001-4406
Phone
(915) 241-0997

Authorized Official

Name
BASEM ABDELFATTAH
Title
OWNER
Phone
(915) 241-0997

Specialties & Taxonomy Codes

Specialty
Special Hospital

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