Precision Pain Consultants PLLC
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Westlake Hills, TX
NPI 1407995681 · NPPES record last updated Oct 29, 2007
Key facts
- NPI
- 1407995681
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- M5138 (TX)
- Legal business name
- PRECISION PAIN CONSULTANTS PLLC
- Practice address
- 4613 Bee Caves
105
Westlake Hills, TX 78746-1113 - Phone
- (512) 892-0490
- Fax
- (512) 891-1909
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Mihnea Dumitrescu, MD
- Title
- President
- Phone
- (512) 891-9191
Practitioners 4
-
Mihnea Dumitrescu, M.D.
-
Svetlana Zolotukhina, F.N.P
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070724000117 | TX | Part B Supplier - Clinic/Group Practice | 7416058292 |
Receives reassigned benefits from 1 practitioner Practice locations: West Lake Hills, TX |
National Provider Directory
Locations
6000 S Mopac Expy
#200
Austin, TX 78749
Phone (512) 492-3702
1101 S Capital of Texas Hwy
West Lake Hills, TX 78746
Phone (512) 617-6746
1101 S Capital of Texas Hwy
Ste F101
West Lake Hills, TX 78746
Phone (512) 892-0490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | M5138 | TX | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | M5138 | TX | Yes |
Addresses
Primary practice location
4613 Bee Caves
105
Westlake Hills, TX 78746-1113
Mailing address
4613 Bee Caves
105
Westlake Hills, TX 78746-1113
Phone (512) 892-0490
Other providers in Westlake Hills, TX
All providers in Westlake Hills, TX · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.