MEDICARE: INTEGRATED PAIN ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	208VP0014X	Interventional Pain Medicine Physician
3	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1518497379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED PAIN ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 11538
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76547-1538
Country	:	US
Telephone Number	:	254-245-9177
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 WOODHEW DR STE 220
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-6679
Country	:	US
Telephone Number	:	254-245-9175
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT IRVINE
Credential	:	DO
Telephone Number	:	254-245-9175

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	01/20/2025

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