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Organization
AG PAIN MANAGEMENT TX, INC
Active
Organization
AG PAIN MANAGEMENT TX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT GUPTA D.O. (MEDICAL DIRECTOR)
(281) 505-5680
Entity
Organization
Contact information
Practice address
218 W NASA PKWY STE A, WEBSTER, TX 77598-5393
(281) 505-5680
Mailing address
1687 ERRINGER RD STE 217, SIMI VALLEY, CA 93065-6510
(281) 505-5680
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
10/02/2024
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