Provider Demographics
NPI:1275773384
Name:BEST PAIN RELIEF AND INJURY CLINIC - AUTO ACCIDENT INJURY CARE, LLC
Entity Type:Organization
Organization Name:BEST PAIN RELIEF AND INJURY CLINIC - AUTO ACCIDENT INJURY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LARISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-300-6390
Mailing Address - Street 1:216 SANGRE DE CRISTO
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREST
Mailing Address - State:NM
Mailing Address - Zip Code:87008-9525
Mailing Address - Country:US
Mailing Address - Phone:505-300-6390
Mailing Address - Fax:505-332-9483
Practice Address - Street 1:3311 CANDELARIA RD NE STE K
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1952
Practice Address - Country:US
Practice Address - Phone:505-323-2114
Practice Address - Fax:505-332-9483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1714111N00000X
NMMD2007-06522084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty