NPIMap

Organization Active NPI

Pain Containment Associate PA

  • Interventional Pain Medicine Physician
  • Mission, TX
National Provider Identifier
1164642195
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K1904 Issued in TX
Legal business name
PAIN CONTAINMENT ASSOCIATE PA
Practice address
1406 S Bryan Rd
Mission, TX 78572-6674
Phone
(956) 583-4880
Fax
(956) 583-5280
NPI assigned
May 1, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Sannichie A. Quaicoe, M.D.NPI 1639175961
Title
President
Phone
(956) 583-4880

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)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X K1904 TX Primary

Addresses

Primary practice location

1406 S Bryan Rd
Mission, TX 78572-6674

Mailing address

PO Box 1469
Mission, TX 78573-0025
Phone (956) 583-4880

Other identifiers 2

IdentifierTypeStateIssuer
1133456MedicaidTX
0018DROtherTXBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1406 S Bryan Rd
Mission, TX 78572
Phone (956) 583-4880

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1164642195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1469",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730025",
            "telephone_number": "956-583-4880",
            "fax_number": "956-583-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726674",
            "telephone_number": "956-583-4880",
            "fax_number": "956-583-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONTAINMENT ASSOCIATE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "QUAICOE",
        "authorized_official_first_name": "SANNICHIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-583-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133456",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0018DR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.