Active NPI
Texoma Anesthesia P.a.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Plano, TX
National Provider Identifier
1063798148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- M2851
- Legal business name
- TEXOMA ANESTHESIA P.A.
- Practice address
- 2713 Zoeller Dr
Plano, TX 75025-5181 - Phone
- (469) 342-6611
- Fax
- (903) 892-6999
- NPI assigned
- Nov 2, 2011
- Last updated
- Nov 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sreenadha Reddy Vattam, M.D.
- Title
- President
- Phone
- (469) 342-6611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | M2851 | TX | Primary |
Addresses
Primary practice location
2713 Zoeller Dr
Plano, TX 75025-5181
Mailing address
2713 Zoeller Dr
Plano, TX 75025-5181
Phone (469) 342-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1001 Sara Swamy Dr
Ste 220
Sherman, TX 75090
Phone (903) 892-1999
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Allen, TX
- NPI 1265402861
-
- Interventional Pain Medicine Physician
- Sherman, TX
- NPI 1427082171
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1629513288
-
- Pain Medicine Physician
- Plano, TX
- NPI 1164451761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1063798148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 ZOELLER DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750255181",
"telephone_number": "469-342-6611",
"fax_number": "903-892-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 ZOELLER DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750255181",
"telephone_number": "469-342-6611",
"fax_number": "903-892-6999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXOMA ANESTHESIA P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "VATTAM",
"authorized_official_first_name": "SREENADHA",
"authorized_official_middle_name": "REDDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-342-6611",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "M2851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.