Organization
PAIN MANAGEMENT HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRUGESHKUMAR KANAIYALAL SHAH MD (PRESIDENT)
(617) 504-4843
Entity
Organization
Contact information
Practice address
1001 PALM DESERT DR, GARLAND, TX 75044-5011
(617) 504-4843
Mailing address
PO BOX 831655, RICHARDSON, TX 75083-1655
(617) 504-4843
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
H8442
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L6174
TX
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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