Pain Associates Institute Of Neurosciences
Pain Medicine, Interventional Pain Medicine in Covington, LA. Organization (NPI-2).
NPI number1619426335
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1619426335
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Associates Institute Of Neurosciences
- Organization subpart
- No
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
76 Starbrush CirCovington, LA 70433-7208
Phone 985-893-8934 · Fax 985-892-8937
Mailing address
76 Starbrush CirCovington, LA 70433-7208
Phone 985-893-8934 · Fax 985-892-8937
Authorized official
Chad Domangue
Owner/Partner
9858928934
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