Organization Active NPI

Tricity Pain Associates PA

  • Interventional Pain Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1235742396
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
TRICITY PAIN ASSOCIATES PA
Practice address
1011 S State Highway 16 Ste 5
Fredericksburg, TX 78624-4472
Phone
(866) 384-5470
Fax
(210) 314-4609
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Dr. Urfan Ahmad Dar, MD
Title
Ceo
Phone
(210) 268-0129

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Pain Medicine (Anesthesiology) Physician 207LP2900X
Pain Medicine Physician 208VP0000X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

1011 S State Highway 16 Ste 5
Fredericksburg, TX 78624-4472

Mailing address

19141 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3367
Phone (210) 268-0129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1235742396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583367",
            "telephone_number": "210-268-0129",
            "fax_number": "210-314-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S STATE HIGHWAY 16 STE 5",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244472",
            "telephone_number": "866-384-5470",
            "fax_number": "210-314-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICITY PAIN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "DAR",
        "authorized_official_first_name": "URFAN",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-268-0129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.