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NPI Code Detail

MEDICARE: INTEGRATED PAIN ASSOCIATES PLLC

MEDICARE: INTEGRATED PAIN ASSOCIATES PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician
2208VP0014XInterventional Pain Medicine Physician
3207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1427728112
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED PAIN ASSOCIATES PLLC
Provider Business Mailing Address
First Line : PO BOX 11538
Second Line :
City : KILLEEN
State : TX
Zip : 76547-1538
Country : US
Telephone Number : 254-245-9177
Fax Number : 254-245-9178
Provider Business Practice Location Address
First Line : 710 E 6TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-4655
Country : US
Telephone Number : 254-245-9175
Fax Number : 254-213-7771
Authorized Official
Title or Position : OWNER
Name : SCOTT A. IRVINE
Credential : DO
Telephone Number : 254-245-9175
Provider Enumeration Date : 09/15/2021
Last Update Date : 01/20/2025

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Directions to “INTEGRATED PAIN ASSOCIATES PLLC ” Practice Location

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