Texas Pain Practice LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

P9994 Issued in TX

Legal business name

TEXAS PAIN PRACTICE LLC

Practice address

1712 Pioneer Ave Ste 500
Cheyenne, WY 82001-4406

Phone

(915) 241-0997

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Basem Abdelfattah

Title

Owner

Phone

(915) 241-0997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1073962593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE STE 500",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE STE 500",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406",
            "telephone_number": "915-241-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "ABDELFATTAH",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-241-0997"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TX",
            "license": "P9994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Tenpenny, RD, LD
• Cassandra May Terfehr, APRN
• Lea Michelle Terry, LPC
• Lori K Terwilliger, REGISTERED NURSE
• Todd Teske
• Jackie Renee Thatcher, O.T.R.
• The Cheyenne Family Young Men'S Christian Association
• The Crossing Counseling Services, P.C.
• The Lactation Network, LLC
• The Olive Branch, LLC

• Special Hospital in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Special Hospital in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.