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General NPI Number Information
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NPI Number | 1336024967
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Entity Type | Organization
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Legal Business Name | TEXAS PAIN PARTNERS PLLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 7525 N LOOP 1604 E STE 128
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City | LIVE OAK
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State | TX
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Zip | 78233-2604
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Country | US
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Telephone | 210-805-9800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33247
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City | SAN ANTONIO
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State | TX
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Zip | 78265-3247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID BLANTON
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Credential |
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Telephone | 210-805-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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