Organization
TENDER PAIN CARE CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN KHAYAT M.D. (PRESIDENT)
(502) 589-9310
Entity
Organization
Contact information
Practice address
801 BARRET AVE, SUITE 104, LOUISVILLE, KY 40204-1747
(502) 589-9310
(502) 583-5560
Mailing address
801 BARRET AVE, LOUISVILLE, KY 40204-1747
(502) 228-8020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32485
KY
Other
Enumeration date
11/07/2006
Last updated
10/24/2007
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