Organization
AG PAIN MANAGEMENT TX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT GUPTA D.O. (MEDICAL DIRECTOR)
(281) 505-5680
Entity
Organization
Contact information
Practice address
218 W NASA PKWY STE A, WEBSTER, TX 77598-5393
(281) 505-5680
Mailing address
1687 ERRINGER RD STE 217, SIMI VALLEY, CA 93065-6510
(281) 505-5680
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
10/02/2024
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