Organization
LAKES AREA PAIN AND REHAB PLLC
Active
Other names
LAKES AREA PAIN AND REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ANTHONY CHARLESTON MD (PARTNER)
(409) 892-4600
Entity
Organization
Contact information
Practice address
755 N 11TH ST STE P2280, BEAUMONT, TX 77702-1525
(409) 892-4600
(409) 892-4605
Mailing address
755 N 11TH ST STE P2280, BEAUMONT, TX 77702-1525
(409) 892-4600
(409) 892-4605
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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