Organization
CITY PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RINOO VASANT SHAH (OWNER)
(214) 308-1580
Entity
Organization
Contact information
Practice address
1501 KINGS HWY DEPT OF, SHREVEPORT, LA 71103-4228
(318) 626-4041
Mailing address
3628 AMHERST AVE, DALLAS, TX 75225-7421
(214) 308-1580
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L4708
TX
Other
Enumeration date
01/05/2015
Last updated
03/03/2020
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