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Advanced Pain Management PLLC

in Webster, TX. Organization (NPI-2).

NPI number1669906608
StatusActive
Last updated in NPPESNov 24, 2020

Details

NPI
1669906608
Entity type
Organization (NPI-2)
Legal business name
Advanced Pain Management PLLC
Organization subpart
No
Enumeration date
Apr 17, 2017
Certification date
Nov 24, 2020
Last updated
Nov 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Practice location

220 E Medical Center Blvd
Webster, TX 77598-4319

Phone 832-930-9001 · Fax 281-672-7162

Mailing address

Po Box 58383
Webster, TX 77598-8383

Phone 832-930-9001 · Fax 281-672-7162

Authorized official

Mohamad Azzam
Owner
8329309001

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