Provider Demographics
NPI:1437537420
Name:CIPM
Entity Type:Organization
Organization Name:CIPM
Other - Org Name:CENTER FOR INTRACTABLE PAIN MANAGEMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WEI-CHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:440-391-1067
Mailing Address - Street 1:3636 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3691
Mailing Address - Country:US
Mailing Address - Phone:214-609-3421
Mailing Address - Fax:
Practice Address - Street 1:3636 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 185
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3691
Practice Address - Country:US
Practice Address - Phone:972-512-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01605171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty