Organization
PAIN CONTAINMENT ASSOCIATE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANNICHIE A. QUAICOE M.D. (PRESIDENT)
(956) 583-4880
Entity
Organization
Contact information
Practice address
1406 S BRYAN RD, MISSION, TX 78572-6674
(956) 583-4880
(956) 583-5280
Mailing address
PO BOX 1469, MISSION, TX 78573-0025
(956) 583-4880
(956) 583-5280
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
K1904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018DR
BLUE CROSS & BLUE SHIELD
TX
05
—
1133456
—
TX
Enumeration date
05/01/2007
Last updated
11/13/2007
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