Organization
PAIN & REHAB SERVICES OF THE SW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON BOYER PHD (OWNER)
(281) 837-3757
Entity
Organization
Contact information
Practice address
4308 GARTH RD STE C, BAYTOWN, TX 77521-3114
(281) 837-3757
(281) 837-7501
Mailing address
8251 BEDFORD EULESS RD, N RICHLAND HILLS, TX 76180-7200
(281) 837-3757
(281) 837-7501
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2-5626
TX
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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