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ALLIED PAIN MANAGEMENT CLINIC P.A. NPI 1568658920


NPI Information

NPI: 1568658920
Provider Name: ALLIED PAIN MANAGEMENT CLINIC P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5201 S BROADWAY AVE
SUITE 200
TYLER, TX
ZIP 75703
Phone: (903) 595-6078
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ALLIED PAIN MANAGEMENT CLINIC P.A. is a family medicine in Tyler, 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. ALLIED PAIN MANAGEMENT CLINIC P.A. NPI is 1568658920. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5201 S BROADWAY AVE
SUITE 200
TYLER, TX
ZIP 75703-748
Phone: (903) 595-6078
Fax: (903) 509-2545

The provider's authorized official is Amy J. Blanton .
The authorized official title is Office Manager and has the following contact phone number (903) 595-6078.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 10/27/2007.


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
11041C0700XSocial WorkerClinical30239TEXASNo
2111N00000XChiropractorDC5099TEXASNo
3207QG0300XFamily MedicineGeriatric MedicineH4166TEXASNo
4207QH0002XFamily MedicineHospice and Palliative MedicineH4166TEXASNo
5208VP0000XPain MedicinePain MedicineH4166TEXASNo
6207Q00000XFamily MedicineH4166TEXASYes

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
18F0136MEDICARE PINTEXAS
2T84775MEDICARE UPINTEXAS
30082536MEDICARE UPINTEXAS
4850135MEDICARE 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.