TRICORNE PRIMARY NERVE & JOINT, LLC

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Health Maintenance Organization

Code: 302R00000X

Preferred Provider Organization

Code: 305R00000X

Point of Service

Code: 305S00000X

Clinic/Center — Pain

Code: 261QP3300X

Clinic/Center — Primary Care

Code: 261QP2300X