Organization
CHIN MD PLLC
Active
Parent organization
CHIN MD PLLC
Other names
Excelsior Pain Management PLLC, Excelsior Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHIN MD PLLC
Authorized official
VERONICA IBANEZ (CREDENTIALING)
(432) 386-6429
Entity
Organization
Contact information
Practice address
1701 W CHARLESTON BLVD STE 200, LAS VEGAS, NV 89102-2312
(512) 846-3100
Mailing address
1600 W 38TH ST, AUSTIN, TX 78731-6400
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/27/2025
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