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

Practice address

3401 E Main St
Gatesville, TX 76528-2694

Phone

(855) 876-7246

Fax

(855) 277-5070

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

VP

Phone

(512) 485-7200

Specialties & licenses 1

Addresses

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

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": "1497129274",
    "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": "3401 E MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282694",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "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": "VP",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Shults Campbell
• Derek Carver
• Robert William Cater, D.D.S.
• Kellie Diane Cazier, BS
• Cental Texas Pain Institute, PA
• Sheldon Chaffer II, M.D.
• Jessica Nicole Christian, PA-C
• Courtney Chung, PA-C
• Angelica Clark, PA-C
• Nancy Jill Clay, MD

• Durable Medical Equipment & Medical Supplies in Gatesville, TX
• Providers in Gatesville, 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.