Provider Demographics
NPI:1013732833
Name:VIRGINIA PAIN AND RESTORATIVE HEALTH
Entity type:Organization
Organization Name:VIRGINIA PAIN AND RESTORATIVE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-517-6160
Mailing Address - Street 1:2924 GLEN GARY DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7703
Mailing Address - Country:US
Mailing Address - Phone:610-517-6160
Mailing Address - Fax:
Practice Address - Street 1:3781 WESTERRE PKWY STE E
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1328
Practice Address - Country:US
Practice Address - Phone:804-461-3637
Practice Address - Fax:804-847-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty