Provider Demographics
NPI:1225575582
Name:STRATEGY PAIN CONSULTANTS PLLC
Entity Type:Organization
Organization Name:STRATEGY PAIN CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NTAKIRUTIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-712-8147
Mailing Address - Street 1:3943 IRVINE BLVD
Mailing Address - Street 2:SUITE 628
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2400
Mailing Address - Country:US
Mailing Address - Phone:323-999-4963
Mailing Address - Fax:888-785-7669
Practice Address - Street 1:525 OAK CENTRE DR
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3916
Practice Address - Country:US
Practice Address - Phone:210-546-1410
Practice Address - Fax:888-785-7669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1013207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty