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ACE PAIN MANAGEMENT REHAB & PHYSICAL THERAPY PLLC NPI 1225396401


NPI Information

NPI: 1225396401
Provider Name: ACE PAIN MANAGEMENT REHAB & PHYSICAL THERAPY PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 45D2052633

Address:
315 JOSE MARTI BLVD
BROWNSVILLE, TX
ZIP 78526
Phone: (956) 546-7530
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ACE PAIN MANAGEMENT REHAB & PHYSICAL THERAPY PLLC is a pain clinic center in Brownsville, TX. ACE PAIN MANAGEMENT REHAB & PHYSICAL THERAPY PLLC NPI is 1225396401. The provider is registered as an organization entity type.

The provider's business location address is:

315 JOSE MARTI BLVD
BROWNSVILLE, TX
ZIP 78526
Phone: (956) 546-7530
Fax: (956) 546-7531

The provider's authorized official is Surya P Raguthu .
The authorized official title is Medical Doctor and has the following contact phone number (956) 546-7530.

The CLIA number assigned to this NPI record is 45D2052633 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 7/17/2013.


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
1261QP3300XClinic/CenterPainL9857TEXASYes

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
10288640MEDICAIDTEXAS
28F0062MEDICARE PIN
3H24131MEDICARE PINTEXAS

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

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.