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PREMIER PAIN MANAGEMENT CONSULTANTS PA NPI 1205857802


NPI Information

NPI: 1205857802
Provider Name: PREMIER PAIN MANAGEMENT CONSULTANTS, PA
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
305 SANDY CORNER RD
SUITE # 220
EL CAMPO, TX
ZIP 77437
Phone: (281) 265-0774
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PREMIER PAIN MANAGEMENT CONSULTANTS, PA is an interventional pain medicine pain medicine in El Campo, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PREMIER PAIN MANAGEMENT CONSULTANTS, PA NPI is 1205857802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 SANDY CORNER RD
SUITE # 220
EL CAMPO, TX
ZIP 77437-535
Phone: (281) 265-0774
Fax: (281) 265-0774

The provider's authorized official is Pramodh K Wadera .
The authorized official title is President and has the following contact phone number (281) 265-0774.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 12/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineG1575TEXASNo
2208VP0014XPain MedicineInterventional Pain MedicineG1575TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1176808702MEDICAIDTEXAS
200489ZMEDICARE PINTEXAS
300488ZMEDICARE PINTEXAS
4176808701MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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