Organization
NEUROSCIENCE & PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD MICHAEL DOMANGUE MD (CMO)
(985) 991-4457
Entity
Organization
Contact information
Practice address
50 LOUIS PRIMA DR, SUITE A, COVINGTON, LA 70433
(985) 991-4457
Mailing address
50 LOUIS PRIMA DR, SU A, COVINGTON, LA 70433
(985) 991-4457
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
202018
LA
Other
Enumeration date
12/15/2008
Last updated
06/05/2014
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