Comprehensive Pain Management, LLC
Specialist in Gonzales, LA. Organization (NPI-2).
NPI number1124152285
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124152285
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Pain Management, LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2647 S Riverview BlvdSt 225
Gonzales, LA 70737-5021
Phone 225-368-2300
Mailing address
Po Box 82480Baton Rouge, LA 70884-2480
Phone 225-368-2300
Authorized official
Stephanie L Gay
Practice Manager
2253682347
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