Organization
PAIN FACILITY MANAGEMENT LLC
Active
Other names
Industrial Medicine Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE JOSEPH MIRE (CFO)
(504) 887-7207
Entity
Organization
Contact information
Practice address
1849 BARATARIA BLVD, MARRERO, LA 70072-4203
(504) 207-7555
(504) 207-7556
Mailing address
3348 W ESPLANADE AVE S, SUITE A, METAIRIE, LA 70002-3475
(504) 887-7207
(504) 889-1868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
03/03/2010
Last updated
06/17/2013
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