1427513654 NPI number — PAIN TREATMENT CENTERS OF AMERICA, PLLC

Table of content: (NPI 1427513654)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427513654 NPI number — PAIN TREATMENT CENTERS OF AMERICA, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAIN TREATMENT CENTERS OF AMERICA, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427513654
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 N. SHACKLEFORD ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72211
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-346-8116
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 OAKWOOD BOULEVARD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
ROUND ROCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-767-7231
Provider Business Practice Location Address Fax Number:
866-249-7552
Provider Enumeration Date:
02/01/2019

Additional Information

Authorized Official

Authorized Official Last Name:
MCCRARY
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
501-346-8116

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com