Organization
SPINAL PAIN ASSOCIATES OF THE WOODLANDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN THADDEUS AGANA (MANAGING MEMBER)
(713) 532-7311
Entity
Organization
Contact information
Practice address
6701 LAKE WOODLANDS DR, THE WOODLANDS, TX 77382-2565
(281) 363-7100
Mailing address
5120 WOODWAY DR STE 7012, HOUSTON, TX 77056-1791
(713) 532-7311
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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