Provider Demographics
NPI:1588035083
Name:ANESTHESIA PAIN MANAGEMENT DOCTORS, LLC
Entity Type:Organization
Organization Name:ANESTHESIA PAIN MANAGEMENT DOCTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-427-8090
Mailing Address - Street 1:233 PECAN PARK AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3362
Mailing Address - Country:US
Mailing Address - Phone:318-427-8090
Mailing Address - Fax:318-528-8787
Practice Address - Street 1:233 PECAN PARK AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3362
Practice Address - Country:US
Practice Address - Phone:318-427-8090
Practice Address - Fax:318-528-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies