Organization
WINNIE COMMUNITY HOSPITAL LLC
Active
Other names
Riceland Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M. TAHIR JAVED (CEO)
(409) 730-8054
Entity
Organization
Contact information
Practice address
2400 HIGHWAY 365 STE 208, NEDERLAND, TX 77627-6250
(409) 724-7904
(409) 226-3374
Mailing address
538 BROADWAY, WINNIE, TX 77665-7600
(409) 296-6000
(409) 296-6372
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
07/10/2023
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