Provider Type Icon

PERFORMANCE PAIN AND SPORTS MEDICINE PLLC NPI 1316307275


NPI Information

NPI: 1316307275
Provider Name: PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
4126 SOUTHWEST FWY
SUITE 1300
HOUSTON, TX
ZIP 77027
Phone: (609) 817-0052
Get Directions

PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC is a point of service in Houston, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC NPI is 1316307275. The provider is registered as an organization entity type.

The provider's business location address is:

4126 SOUTHWEST FWY
SUITE 1300
HOUSTON, TX
ZIP 77027-310
Phone: (609) 817-0052
Fax: (609) 817-0051

The provider's authorized official is Stacy Salera .
The authorized official title is Finance Representative and has the following contact phone number (609) 817-0052.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 6/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1302F00000XExclusive Provider OrganizationN7457TEXASNo
2305S00000XPoint of ServiceN7457TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000000OTHERTEXASMULTI-SPECIATLY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.