Organization Active NPI

Pain Management Center of Texas, PA

  • Specialist
  • Plano, TX
National Provider Identifier
1508056359
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAIN MANAGEMENT CENTER OF TEXAS, PA
Practice address
4100 W 15TH St Ste 200
Plano, TX 75093-5856
Phone
(469) 733-4581
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Dr. Ed Shin, MD
Title
Partner
Phone
(469) 733-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X TX Primary

Addresses

Primary practice location

4100 W 15TH St Ste 200
Plano, TX 75093-5856

Mailing address

4100 W 15TH St Ste 200
Plano, TX 75093-5856
Phone (469) 733-4581

National Provider Directory

National Provider Directory

Locations

4100 W 15th St
Ste 200
Plano, TX 75093
Phone (972) 588-4393

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1508056359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935856",
            "telephone_number": "469-733-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935856",
            "telephone_number": "469-733-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTER OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "469-733-4581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.