NPI 1073962593

Texas Pain Practice LLC

Organisation Special Hospital Cheyenne, WY

Practice location

Address: 1712 Pioneer Ave STE 500, Cheyenne, WY 82001-4406
Phone: (915) 241-0997

Authorised official

Name: Basem Abdelfattah
Title: Owner
Phone: (915) 241-0997

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence P9994 (TX)

Other Special Hospital providers in Wyoming →

Registry record

NPI: 1073962593
Entity type: Organization
NPI issued: 6 Jun 2016
Record last updated: 6 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.