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Organization
EXCELSIOR PAIN MANAGEMENT PLLC
Active
Organization
EXCELSIOR PAIN MANAGEMENT PLLC
Active
Other names
Excelsior Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WEILON CHIN MD (PHYSICIAN/FOUNDER)
(512) 846-3100
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, AUSTIN, TX 78731
(512) 963-6566
Mailing address
1600 W 38TH ST, AUSTIN, TX 78731-6400
(512) 846-3100
(512) 846-3101
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q8036
TX
Other
Enumeration date
08/27/2018
Last updated
09/22/2018
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