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PAIN CARE CLINICS PA NPI 1144271578


NPI Information

NPI: 1144271578
Provider Name: PAIN CARE CLINICS, PA

Doing Business As: CARE CLINICS, PA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1102372

Address:
703 HILL COUNTRY DR STE 301
KERRVILLE, TX
ZIP 78028
Phone: (830) 792-4805
Get Directions

PAIN CARE CLINICS, PA is a family medicine in Kerrville, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PAIN CARE CLINICS, PA NPI is 1144271578. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Care Clinics, Pa.

The provider's business location address is:

703 HILL COUNTRY DR STE 301
KERRVILLE, TX
ZIP 78028-162
Phone: (830) 792-4805
Fax: (830) 792-4883

The provider's authorized official is Jon Eric Chancellor .
The authorized official title is Owner and has the following contact phone number (830) 792-4805.

The CLIA number assigned to this NPI record is 45D1102372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/9/2020.


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
1207Q00000XFamily MedicineYes
2208100000XPhysical Medicine & RehabilitationNo
32081S0010XPhysical Medicine & RehabilitationSports MedicineNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo

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
10163190502MEDICAIDTEXAS
2163190503OTHERTEXASMEDICAID, TSTEPS
3DC1911OTHERTEXASRR MEDICARE
40047KPOTHERTEXASBC/BS

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: 4/28/2024

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