Provider Demographics
NPI:1336636315
Name:PAIN SOLUTIONS
Entity Type:Organization
Organization Name:PAIN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:QUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARBASSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-855-0557
Mailing Address - Street 1:4910 W RAY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-6221
Mailing Address - Country:US
Mailing Address - Phone:480-855-0557
Mailing Address - Fax:
Practice Address - Street 1:4910 W RAY RD STE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-6221
Practice Address - Country:US
Practice Address - Phone:480-855-0557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty