Active NPI
Pain Management Holdings, PA
- Pain Clinic/Center
- Irving, TX
National Provider Identifier
1649450511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PAIN MANAGEMENT HOLDINGS, PA
- Practice address
- 4040 N Macarthur Blvd
Irving, TX 75038-6413 - Phone
- (214) 317-4666
- Fax
- (214) 317-4667
- NPI assigned
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mike Shah, M.D.
- Title
- President
- Phone
- (214) 317-4666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
4040 N Macarthur Blvd
Irving, TX 75038-6413
Mailing address
PO Box 831655
Richardson, TX 75083-1655
Phone (214) 317-4666
National Provider Directory
National Provider Directory- Tax ID family
- Pain Management Holdings
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Pain Medicine Physician
- Garland, TX
- NPI 1902006729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1649450511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 831655",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750831655",
"telephone_number": "214-317-4666",
"fax_number": "214-317-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750386413",
"telephone_number": "214-317-4666",
"fax_number": "214-317-4667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT HOLDINGS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-317-4666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.