Organization
ACE PAIN MANAGEMENT REHAB & PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA P RAGUTHU M.D (MEDICAL DOCTOR)
(956) 546-7530
Entity
Organization
Contact information
Practice address
315 JOSE MARTI BLVD, BROWNSVILLE, TX 78526
(956) 546-7530
(956) 546-7531
Mailing address
315 JOSE MARTI BLVD, BROWNSVILLE, TX 78526
(956) 546-7530
(956) 546-7531
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
L9857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288640
—
TX
Enumeration date
04/25/2012
Last updated
07/17/2013
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