Provider Demographics
NPI:1093049850
Name:N&N PAIN & INJURY CLINIC, PA
Entity Type:Organization
Organization Name:N&N PAIN & INJURY CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:NINH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-412-5544
Mailing Address - Street 1:7985 PHELAN BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-5720
Mailing Address - Country:US
Mailing Address - Phone:409-866-7246
Mailing Address - Fax:409-866-7201
Practice Address - Street 1:7985 PHELAN BLVD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-5720
Practice Address - Country:US
Practice Address - Phone:409-866-7246
Practice Address - Fax:409-866-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0022KVOtherBCBS