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ELLEN W LIN MD PA NPI 1356529598


NPI Information

NPI: 1356529598
Provider Name: ELLEN W LIN MD PA

Doing Business As: ADVANCED SPINE AND PAIN CENTER

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 45D1107719

Address:
21 SPURS LANE
SUITE 240
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 690-0777
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ELLEN W LIN MD PA is a pain medicine physical medicine rehabilitation in San Antonio, TX. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ELLEN W LIN MD PA NPI is 1356529598. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Spine And Pain Center.

The provider's business location address is:

21 SPURS LANE
SUITE 240
SAN ANTONIO, TX
ZIP 78240-669
Phone: (210) 690-0777
Fax: (210) 690-0779

The provider's authorized official is Ellen Lin .
The authorized official title is Owner and has the following contact phone number (210) 690-0777.

The CLIA number assigned to this NPI record is 45D1107719 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/23/2015.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineM0151TEXASYes

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
100Y752MEDICARE 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: 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.