Provider Demographics
NPI:1760071377
Name:CYPRESS SPINAL INTERVENTION HEADACHE AND PELVIC PAIN, PLLC
Entity Type:Organization
Organization Name:CYPRESS SPINAL INTERVENTION HEADACHE AND PELVIC PAIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZHICHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-897-8895
Mailing Address - Street 1:530 NEW WAVERLY PL STE 105
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7414
Mailing Address - Country:US
Mailing Address - Phone:919-897-8895
Mailing Address - Fax:949-561-4863
Practice Address - Street 1:530 NEW WAVERLY PL STE 105
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-897-8895
Practice Address - Fax:949-561-4863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty