Pain Management Associates of East Texas, PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN MANAGEMENT ASSOCIATES OF EAST TEXAS, PA

Practice address

300 Willow Creek Pkwy
Suite 130
Palestine, TX 75801-4421

Phone

(903) 723-2465

Fax

(903) 677-1694

NPI assigned

Oct 13, 2005

Last updated

Mar 7, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Scott Cooper, M.D.

Title

President

Phone

(903) 675-1186

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1013905900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758022427",
            "telephone_number": "903-723-2465",
            "fax_number": "903-677-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLOW CREEK PKWY",
            "address_2": "SUITE 130",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014421",
            "telephone_number": "903-723-2465",
            "fax_number": "903-677-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT ASSOCIATES OF EAST TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-675-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709560-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Palestine I Enterprises, LLC (Greenbrier Nursing & Rehabilitation Center of Palestine)
• Palestine Isd

• Pain Medicine (Anesthesiology) Physician in Palestine, TX
• Providers in Palestine, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.