Provider Demographics
NPI:1467846683
Name:HORIZON SPINE & PAIN
Entity Type:Organization
Organization Name:HORIZON SPINE & PAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-470-2025
Mailing Address - Street 1:6433 INTERLAKEN DR
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-3557
Mailing Address - Country:US
Mailing Address - Phone:724-470-2025
Mailing Address - Fax:
Practice Address - Street 1:3157 MOUNT MORRIS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-8155
Practice Address - Country:US
Practice Address - Phone:724-470-2025
Practice Address - Fax:877-706-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty