Basic Information
| Provider Information | |||||||||
| NPI: | 1245618552 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CY-PAIN & SPINE, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9717 JONES RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770654303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135686095 | ||||||||
| FaxNumber: | 7139654091 | ||||||||
| Practice Location | |||||||||
| Address1: | 9717 JONES RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770654303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135686095 | ||||||||
| FaxNumber: | 7139654091 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2015 | ||||||||
| LastUpdateDate: | 09/06/2021 | ||||||||
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| AuthorizedOfficialLastName: | VINH | ||||||||
| AuthorizedOfficialFirstName: | BAOMINH | ||||||||
| AuthorizedOfficialMiddleName: | PHILIP | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7135686095 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 09/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | 208VP0014X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | 207LP2900X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.