Texas Spine & Pain MD PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

TEXAS SPINE & PAIN MD PLLC

Practice address

1055 Clarksville St Ste 165
Paris, TX 75460-0211

Phone

(903) 401-5145

Fax

(903) 401-5146

NPI assigned

May 26, 2023

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Praveen Natakal Pakeerappa, MDNPI 1457645830

Title

Ceo

Phone

(903) 401-5145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Praveen Natakal Pakeerappa, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Paris, TX
  • NPI 1457645830
  Medicare reassignment Care Compare group NPD Authorized official
• Jean Anne Georges, MSN, RN, ANP

  • Adult Health Nurse Practitioner
  • Freeport, TX
  • NPI 1629342514
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1699468546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754180429",
            "telephone_number": "903-401-5145",
            "fax_number": "903-401-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE ST STE 165",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600211",
            "telephone_number": "903-401-5145",
            "fax_number": "903-401-5146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 DeShong Dr",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754609313",
            "country_code": "US",
            "telephone_number": "903-737-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS SPINE & PAIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "NATAKAL PAKEERAPPA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-401-5145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Drew Temple, MD
• Texas Em I Medical Services PA
• Texas Em-I Medical Services, PA
• Texas Family Tree, LLC (Paris Nursing & Rehabilitation Center)
• Texas Infectious Disease Specialist
• The Rock Physical Therapy LLC
• Thomas D. Charbeneau, DDS, MSD, PA
• Kayla Michelle Thomas, CP
• Gregory L Thompson, DC
• Russell Glenn Thrasher, LP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Paris, TX
• Providers in Paris, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.