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1467901645 NPI number — SPECIALTY PAIN PHYSICIANS OF TEXAS PLLC

NPI Number: 1467901645
Health Care Provider/Practitioner: SPECIALTY PAIN PHYSICIANS OF TEXAS PLLC

Information about “1467901645” NPI (SPECIALTY PAIN PHYSICIANS OF TEXAS PLLC) exists in 1467901645 in HTML format HTML  |  1467901645 in plain Text format TXT  |  1467901645 in PDF (Portable Document Format) PDF  |  1467901645 in an XML format XML  formats.

NPI Number : 1467901645 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467901645",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPECIALTY PAIN PHYSICIANS OF TEXAS PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "621 CAVAN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CIBOLO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78108-1962",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5505 S EXPRESSWAY 77 STE 306",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARLINGEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78550-3222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-438-1069",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2016",
    "LastUpdateDate": "10/07/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SARDELLA",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "806-438-1069",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP3300X",
          "TaxonomyName": "Pain Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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