Organization
PINEYWOODS PAIN ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DALE HARRIS MD (MEMBER)
(936) 559-3783
Entity
Organization
Contact information
Practice address
1201 W FRANK AVE, ANESTHESIA DEPARTMENT, LUFKIN, TX 75904-3357
(936) 639-3036
Mailing address
PO BOX 155721, LUFKIN, TX 75915-5721
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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