Organization Active NPI

Aa Texas Anesthesia Back Pain Center Mdpa

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
National Provider Identifier
1639368467
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
AA TEXAS ANESTHESIA BACK PAIN CENTER MDPA
Practice address
2646 S Loop W Ste 300
Houston, TX 77054-2678
Phone
(713) 663-7246
Fax
(877) 433-4352
NPI assigned
Oct 17, 2007
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Ajay K AggarwalNPI 1316947443
Title
Authorized Official
Phone
(877) 433-4352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

2646 S Loop W Ste 300
Houston, TX 77054-2678

Mailing address

PO Box 271622
Houston, TX 77277-1622
Phone (877) 433-4352

Other identifiers 2

IdentifierTypeStateIssuer
0058PCOtherTXBC/BS
131822204MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1639368467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271622",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772771622",
            "telephone_number": "877-433-4352",
            "fax_number": "877-433-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542678",
            "telephone_number": "713-663-7246",
            "fax_number": "877-433-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA TEXAS ANESTHESIA BACK PAIN CENTER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "877-433-4352"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0058PC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131822204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.