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General NPI Number Information
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NPI Number | 1235016486
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Entity Type | Organization
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Legal Business Name | TRICITY PAIN ASSOCIATES PA
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 18707 HARDY OAK BLVD STE 230
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4890
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Country | US
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Telephone | 844-789-7246
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Fax | 888-880-9323
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Provider Business Mailing Address
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Address Line | PO BOX 642016
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City | DALLAS
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State | TX
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Zip | 75264-2016
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Country | US
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Telephone | 210-756-5989
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Fax | 210-568-4064
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Authorized Official
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Title or Position | COO
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Name | KENNETH EFIRD
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Credential |
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Telephone | 281-536-3119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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