Centex Pain & Physical Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTEX PAIN & PHYSICAL MEDICINE, LLC

Practice address

2020 N Valley Mills Dr
Waco, TX 76710-2561

Phone

(254) 405-4429

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Fyke, DCNPI 1427081314

Title

President

Phone

(254) 644-3389

Specialties & licenses 1

Addresses

Other names 1

• Centex Spine and Rehab, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Fyke, D.C

  • Chiropractor
  • Waco, TX
  • NPI 1427081314
  NPD Authorized official

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1548011968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102561",
            "telephone_number": "254-405-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102561",
            "telephone_number": "254-405-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEX PAIN & PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "FYKE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-644-3389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centex Spine and Rehab, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cenikor Foundation
• Cenikor Foundation
• Cenikor Foundation
• Cenikor Foundation
• Cenikor Foundation
• Centex Spine & Rehab, LLC
• Central Park Clinic Coorporation
• Central Texas Advanced Medical Imaging LP
• Central Texas Anesthesiology Associates
• Central Texas Anesthesiology Associates Inc

• Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.