Provider Demographics
NPI:1609385632
Name:PIPM SUB B, PLLC
Entity Type:Organization
Organization Name:PIPM SUB B, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL AHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-350-0225
Mailing Address - Street 1:2130 NE LOOP 410 STE 375
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4659
Mailing Address - Country:US
Mailing Address - Phone:210-634-1232
Mailing Address - Fax:210-634-1243
Practice Address - Street 1:2130 NE LOOP 410 STE 375
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4659
Practice Address - Country:US
Practice Address - Phone:210-634-1232
Practice Address - Fax:210-634-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty