Provider Demographics
NPI:1306081773
Name:A&A PAIN AND WELLNESS CENTER
Entity type:Organization
Organization Name:A&A PAIN AND WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANUKUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DASS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:832-613-3781
Mailing Address - Street 1:6600 HARWIN DR
Mailing Address - Street 2:SUITE #100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2276
Mailing Address - Country:US
Mailing Address - Phone:832-613-3781
Mailing Address - Fax:832-830-8810
Practice Address - Street 1:6600 HARWIN DR
Practice Address - Street 2:SUITE #100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2276
Practice Address - Country:US
Practice Address - Phone:832-613-3781
Practice Address - Fax:832-830-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1935261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health