Organization
CHRONIC PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY SHULTS (PRESIDENT)
(281) 481-4357
Entity
Organization
Contact information
Practice address
2951 MARINA BAY DR, SUITE 130155, LEAGUE CITY, TX 77573-2735
(281) 481-4357
Mailing address
12559 GULF FWY, HOUSTON, TX 77034-4509
(281) 481-4357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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