INTERVENTIONAL PAIN MANAGEMENT PA NPI 1114113669

NPI Information

  • NPI: 1114113669
  • Provider Name: INTERVENTIONAL PAIN MANAGEMENT, PA
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 3312 N UNIVERSITY DR
    SUITE J
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (936) 560-2222

Map and Directions

Get Directions

NPI Details

INTERVENTIONAL PAIN MANAGEMENT, PA is a pain medicine anesthesiology in Nacogdoches, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. INTERVENTIONAL PAIN MANAGEMENT, PA NPI is 1114113669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3312 N UNIVERSITY DR
SUITE J
NACOGDOCHES, TX
ZIP 75965-637
Phone: (936) 560-2222
Fax: (936) 569-1788

The provider's authorized official is James D Davis .
The authorized official title is Md/owner and has the following contact phone number (936) 560-2222.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 7/21/2022.

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
1207LP2900XAnesthesiologyPain MedicineJ8185TEXASYes

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
1DF4810OTHERPALMETTO GBA
2184657801MEDICAIDTEXAS

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI