| Organization Name: | MIDSOUTH INTERVENTIONAL PAIN INSTITUTE, LLC |
| NPI Number: | 1083898605 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL EDWARD STEUER (PRESIDENT/CEO) |
| Mailing Address: | 122 Airways Pl Southaven |
| State: | MS US |
| Postal Code: | 386715872 |
| Phone Number: | 6623499990 |
| Fax Number: | 6623492620 |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |