# PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1407696362
- **Authorized official:** SUZANNE MANZI MD (OWNER)
- **Authorized official phone:** (346) 217-1111

## Contact information

- **Practice address:** 1216 E MAIN ST STE A, LEAGUE CITY, TX 77573-7463
- **Practice address phone:** (346) 217-1111
- **Practice address fax:** (346) 571-2189
- **Mailing address:** PO BOX 649834, DALLAS, TX 75264-9834
- **Mailing address phone:** (346) 308-6741
- **Mailing address fax:** (346) 571-2189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 05/29/2024
