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COLVIN PAIN MANAGEMENT PLLC NPI 1619386729


NPI Information

NPI: 1619386729
Provider Name: COLVIN PAIN MANAGEMENT PLLC

Doing Business As: INTERVENTIONAL PAIN MANAGEMENT

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D2086814

Address:
4642 N LOOP 289 STE 209
LUBBOCK, TX
ZIP 79416
Phone: (806) 797-4596
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COLVIN PAIN MANAGEMENT PLLC is a specialist in Lubbock, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLVIN PAIN MANAGEMENT PLLC NPI is 1619386729. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Interventional Pain Management.

The provider's business location address is:

4642 N LOOP 289 STE 209
LUBBOCK, TX
ZIP 79416-425
Phone: (806) 797-4596
Fax: (855) 529-0586

The provider's authorized official is Jeffery N Colvin .
The authorized official title is Physican and has the following contact phone number (806) 797-4596.

The CLIA number assigned to this NPI record is 45D2086814 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 6/25/2015.


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
1174400000XSpecialistH2313TEXASYes

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
1137839014MEDICAIDTEXAS
2E45813MEDICARE UPINTEXAS

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

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