Provider Demographics
NPI:1699198937
Name:MURFREESBORO HOPE PAIN CENTER PLLC
Entity Type:Organization
Organization Name:MURFREESBORO HOPE PAIN CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABALLAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-881-9374
Mailing Address - Street 1:905 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4915
Mailing Address - Country:US
Mailing Address - Phone:615-962-7030
Mailing Address - Fax:615-962-7127
Practice Address - Street 1:905 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4915
Practice Address - Country:US
Practice Address - Phone:615-962-7030
Practice Address - Fax:615-962-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000042991208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty