Organization Name: | TEXAS PAIN RELIEF GROUP PLLC |
NPI Number: | 1003246299 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODOLFO GARI (CHAIRMAN) |
Mailing Address: | 1717 Precinct Line Rd 200 Hurst |
State: | TX US |
Postal Code: | 760543169 |
Phone Number: | 8555497246 |
Fax Number: | 8175141901 |
NPI Enumeration Date: | 11/25/2013 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |