Provider Demographics
NPI:1497049118
Name:PAIN DME
Entity Type:Organization
Organization Name:PAIN DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-523-0503
Mailing Address - Street 1:7614 ROCIO DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6550
Mailing Address - Country:US
Mailing Address - Phone:956-523-0503
Mailing Address - Fax:956-795-8396
Practice Address - Street 1:7614 ROCIO DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6550
Practice Address - Country:US
Practice Address - Phone:956-523-0503
Practice Address - Fax:956-795-8396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies