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Contact Information

CLS REGEN, PLLC
18707 HARDY OAK BLVD STE 445
SAN ANTONIO, TX78258-4841
 Phone: 616-283-8785
 Fax: 512-975-2005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CLS REGEN, PLLC

NPI Number 1841996956
LBN Legal business name CLS REGEN, PLLC
Authorized official CASEY SIETSEMA - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2023
Last updated 02/01/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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