Healthcare Provider Details

I. General information

NPI: 1609523448
Provider Name (Legal Business Name): TRICITY PAIN ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 GENERATIONS DR STE B
NEW BRAUNFELS TX
78130-0009
US

IV. Provider business mailing address

PO BOX 642016
DALLAS TX
75264-2016
US

V. Phone/Fax

Practice location:
  • Phone: 210-268-0129
  • Fax: 210-314-4609
Mailing address:
  • Phone: 210-268-0129
  • Fax: 210-314-4609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH EFIRD
Title or Position: COO
Credential:
Phone: 281-536-3119