# BRAIN & PAIN CARE, LLC

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

## Provider details

- **NPI number:** 1760025001
- **Authorized official:** JAI MUNJAMPALLI MD (OWNER)
- **Authorized official phone:** (318) 469-8517

## Contact information

- **Practice address:** 7600 FERN AVE STE 700B, SHREVEPORT, LA 71105-5673
- **Practice address phone:** (318) 616-6000
- **Practice address fax:** (318) 616-6616
- **Mailing address:** 8020 CAPTAIN DILLON CT, SHREVEPORT, LA 71115-4606
- **Mailing address phone:** (318) 469-8517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2019
- **Last updated:** 09/03/2021