Central Texas Pain Institute PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

J7566 Issued in TX

Legal business name

CENTRAL TEXAS PAIN INSTITUTE PLLC

Doing business as

Pain Specialists of Austin

Practice address

2500 W William Cannon Dr
Suite 206
Austin, TX 78745-5257

Phone

(512) 485-7200

Fax

(512) 485-7220

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Lori Fuller

Title

Rev Cycle Management

Phone

(512) 485-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pain Specialists of Austin Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Central Texas Pain Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1952958530

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1235503012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208361",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208361",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR",
            "address_2": "SUITE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455257",
            "telephone_number": "512-485-7200",
            "fax_number": "512-485-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS PAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "REV CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "512-485-7200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "J7566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ;PTAN",
            "identifier": "00R03W",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Specialists of Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Texas Pain Center, PLLC (Central Texas Pain Center)
• Central Texas Pain Center, PLLC (Central Texas Pain Center)
• Central Texas Pain Center, PLLC (Central Texas Pain Center)
• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pain Solutions
• Central Texas Palliative Care Associates (Austin Palliative Care)
• Central Texas Pediatric Dentistry, PA
• Central Texas Pediatric Endocrinology and Diabetes, P.a. (The Whole Child Clinic)
• Central Texas Pediatric Orthopedics and Scoliosis Surgery PA

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.