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CENTRAL TEXAS PAIN INSTITUTE PLLC NPI 1548631666


NPI Information

NPI: 1548631666
Provider Name: CENTRAL TEXAS PAIN INSTITUTE, PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3202 S W S YOUNG DR STE 102
KILLEEN, TX
ZIP 76542
Phone: (512) 485-7200
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CENTRAL TEXAS PAIN INSTITUTE, PLLC is a durable medical equipment medical supplies in Killeen, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CENTRAL TEXAS PAIN INSTITUTE, PLLC NPI is 1548631666. The provider is registered as an organization entity type.

The provider's business location address is:

3202 S W S YOUNG DR STE 102
KILLEEN, TX
ZIP 76542-538
Phone: (512) 485-7200
Fax: (512) 485-7224

The provider's authorized official is Davelyn Mahoney .
The authorized official title is Credentialing Manager and has the following contact phone number (512) 485-7208.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 8/28/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesJ7566TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100R03WOTHERTEXASMEDICARE PTAN

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: 5/5/2024

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