MEDICARE: PAIN CONTROL OF TEXAS 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
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1093475832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN CONTROL OF TEXAS PLLC

Provider Business Mailing Address
First Line	:	9010 BRODIE LN UNIT 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5184
Country	:	US
Telephone Number	:	512-994-4159
Fax Number	:	888-498-4429

Provider Business Practice Location Address
First Line	:	9010 BRODIE LN STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5186
Country	:	US
Telephone Number	:	512-994-4159
Fax Number	:	888-498-4429

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. VIVEK MAHENDRU
Credential	:	MD
Telephone Number	:	512-371-6398

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	05/27/2026

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Directions to “PAIN CONTROL OF TEXAS PLLC ” Practice Location

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