# PHYSICAL MEDICINE AND PAIN MANAGEMENT SPECIALIST INC

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

## Provider details

- **NPI number:** 1144374976
- **Authorized official:** DR. EMMANUEL GALANG ACOSTA M.D. (PRESIDENT)
- **Authorized official phone:** (702) 248-6850

## Contact information

- **Practice address:** 2770 S MARYLAND PKWY STE 215, LAS VEGAS, NV 89109-1565
- **Practice address phone:** (702) 248-6850
- **Practice address fax:** (702) 685-7242
- **Mailing address:** 2770 S MARYLAND PKWY STE 215, LAS VEGAS, NV 89109-1565
- **Mailing address phone:** (702) 248-6850
- **Mailing address fax:** (702) 685-7242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 10462 | NV | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/24/2011