# INTEGRATIVE PAIN CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033464789
- **Authorized official:** DR. PANKAJ GARG MD (OWNER)
- **Authorized official phone:** (610) 732-4251

## Contact information

- **Practice address:** 1572 MCDANIEL DR, WEST CHESTER, PA 19380-6673
- **Practice address phone:** (610) 732-4251
- **Practice address fax:** (855) 203-5123
- **Mailing address:** 1572 MCDANIEL DR, WEST CHESTER, PA 19380-6673
- **Mailing address phone:** (610) 732-4251
- **Mailing address fax:** (855) 203-5123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 02/04/2015