| Procura Pain And Spine, Pllc | |
|
111 Vision Park Blvd Ste 100 Shenandoah TX 77384-3003 | |
| (713) 714-1399 | |
| (713) 389-5798 |
| Full Name | Procura Pain And Spine, Pllc |
|---|---|
| Speciality | Anesthesiology |
| Location | 111 Vision Park Blvd Ste 100, Shenandoah, Texas |
| Authorized Official Name and Position | Kenneth Qian Wu (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7137141399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procura Pain And Spine, Pllc 111 Vision Park Blvd Ste 100 Shenandoah TX 77384-3003 Ph: (713) 714-1399 | Procura Pain And Spine, Pllc 111 Vision Park Blvd Ste 100 Shenandoah TX 77384-3003 Ph: (713) 714-1399 |
| NPI Number | 1245663848 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 8729221197 |
|---|---|
| Medicare Enrollment ID | O20130904000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245663848 | NPI | - | NPPES |
| Provider Name | Michael Sprintz |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1013134196 PECOS PAC ID: 7810082179 Enrollment ID: I20120830000646 |
| Provider Name | Kenneth Q Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952632143 PECOS PAC ID: 2961620059 Enrollment ID: I20140903000798 |
| Provider Name | Thomas S White |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1396181350 PECOS PAC ID: 5991076549 Enrollment ID: I20180620003081 |
| Provider Name | Yoann Henry Millet |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1790027167 PECOS PAC ID: 9931457645 Enrollment ID: I20180810002925 |
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