Organization
CPRC HOLDINGS LLC
Active
Other names
CHRONIC PAIN RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ALIANELL MD (PARTNER)
(936) 321-0214
Entity
Organization
Contact information
Practice address
25134 OAKHURST DR, SPRING, TX 77386-1421
(936) 271-0221
(936) 271-0219
Mailing address
25134 OAKHURST DR, SPRING, TX 77386-1421
(936) 271-0221
(936) 271-0219
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027PL
BCBSTX GROUP PIN
TX
01
—
206010500
US DEPARTMENT OF LABOR ID
TX
01
—
652320000
ECPTOTE PT FACILITY LIC
TX
Enumeration date
07/20/2006
Last updated
02/13/2024
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