Provider Demographics
NPI:1255972972
Name:CY PAIN AND REHAB PLLC
Entity type:Organization
Organization Name:CY PAIN AND REHAB PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHAU
Authorized Official - Middle Name:
Authorized Official - Last Name:UONG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-641-5777
Mailing Address - Street 1:4541 N JOSEY LN STE 230
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4781
Mailing Address - Country:US
Mailing Address - Phone:214-506-0904
Mailing Address - Fax:888-366-2632
Practice Address - Street 1:4541 N JOSEY LN STE 230
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4781
Practice Address - Country:US
Practice Address - Phone:214-506-0904
Practice Address - Fax:888-366-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation