Organization
RELIEF PAIN AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L GENTRY II M.D. (PHYSICIAN)
(713) 400-3038
Entity
Organization
Contact information
Practice address
5514 ATASCOCITA RD, STE 290, HUMBLE, TX 77346-2968
(713) 400-3038
(832) 201-9644
Mailing address
5514 ATASCOCITA RD, STE 290, HUMBLE, TX 77346-2968
(713) 400-3038
(832) 201-9644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N8918
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
N8918
TX
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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