Provider Demographics
NPI:1720324809
Name:UNIVERSAL PAIN MANAGEMENT, PLLC
Entity Type:Organization
Organization Name:UNIVERSAL PAIN MANAGEMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHANGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-835-0348
Mailing Address - Street 1:755 N 11TH ST
Mailing Address - Street 2:SUITE P3600
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1500
Mailing Address - Country:US
Mailing Address - Phone:409-835-0348
Mailing Address - Fax:409-832-3125
Practice Address - Street 1:755 N 11TH ST
Practice Address - Street 2:SUITE P2280
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1500
Practice Address - Country:US
Practice Address - Phone:409-236-1600
Practice Address - Fax:409-236-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty