Organization
EXCELSIOR PAIN MANAGEMENT PLLC
Active
Other names
Excelsior Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WEILON CHIN MD (PHYSICIAN/FOUNDER)
(512) 846-3100
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, AUSTIN, TX 78731
(512) 963-6566
Mailing address
1600 W 38TH ST, AUSTIN, TX 78731-6400
(512) 846-3100
(512) 846-3101
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q8036
TX
Other
Enumeration date
08/27/2018
Last updated
09/22/2018
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