Organization Active NPI

Pain Care of Texas, Inc.

  • Interventional Pain Medicine Physician
  • Allen, TX
National Provider Identifier
1487783759
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L9810 Issued in TX
Legal business name
PAIN CARE OF TEXAS, INC.
Practice address
1111 Raintree Cir Ste 170
Allen, TX 75013-4902
Phone
(214) 509-9691
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Betty Brumley
Title
Practice Administrator
Phone
(214) 509-9691

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X F6754 TX
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X H0458 TX
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X L9810 TX Primary

Addresses

Primary practice location

1111 Raintree Cir Ste 170
Allen, TX 75013-4902

Mailing address

1111 Raintree Cir Ste 170
Allen, TX 75013-4902
Phone (214) 509-9691

Other identifiers 3

IdentifierTypeStateIssuer
1831169077OtherTXDEBORAH HOLUBEC M.D. NPI
1396700571OtherTXWESLEY MERRITT M.D. NPI
1831169895OtherTXJERRY HOLUBEC D.O. NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1487783759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134902",
            "telephone_number": "214-509-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134902",
            "telephone_number": "214-509-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "BRUMLEY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-509-9691"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "F6754",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "H0458",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L9810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEBORAH HOLUBEC M.D.  NPI",
            "identifier": "1831169077",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESLEY MERRITT M.D.  NPI",
            "identifier": "1396700571",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JERRY HOLUBEC D.O.  NPI",
            "identifier": "1831169895",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.