MEDICARE: CENTRAL TEXAS PAIN INSTITUTE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	207LP2900X	Pain Medicine (Anesthesiology) Physician
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1215114731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL TEXAS PAIN INSTITUTE, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 208361
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-8361
Country	:	US
Telephone Number	:	124-857-2085
Fax Number	:	844-364-8678

Provider Business Practice Location Address
First Line	:	3101 HIGHWAY 71 E STE 211
Second Line	:
City	:	BASTROP
State	:	TX
Zip	:	78602-5156
Country	:	US
Telephone Number	:	855-876-7246
Fax Number	:	855-277-5070

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	MICHAEL LOMBARDI
Credential	:
Telephone Number	:	512-485-7200

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	06/11/2026

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