Organization Active NPI

LMR Pain & Lifestyle Management PLLC

  • Pain Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1225496102
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
J4489 Issued in TX
Legal business name
LMR PAIN & LIFESTYLE MANAGEMENT PLLC
Practice address
128 N Highway 77
Waxahachie, TX 75165-1800
Phone
(844) 300-6900
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Lorraine Rudder, M.D.NPI 1639229545
Title
Medical Director
Phone
(844) 300-6900

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
Pain Clinic/Center 261QP3300X J4489 TX Primary

Addresses

Primary practice location

128 N Highway 77
Waxahachie, TX 75165-1800

Mailing address

2900 N Quinlan Park Rd
Suite B240-236
Austin, TX 78732-6083

National Provider Directory

National Provider Directory

Locations

2900 N Quinlan Park Rd
Ste B240236
Austin, TX 78732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1225496102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N QUINLAN PARK RD",
            "address_2": "SUITE B240-236",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651800",
            "telephone_number": "844-300-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMR PAIN & LIFESTYLE MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "RUDDER",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "844-300-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "J4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.