Organization Active NPI

My Pain Doctor

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • West Lake Hills, TX
National Provider Identifier
1740612845
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
Q4469 Issued in TX
Legal business name
MY PAIN DOCTOR
Practice address
4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746
Phone
(512) 960-4717
Fax
(855) 868-9882
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Hector Alejandro Miranda-Grajales, MD
Title
Owner
Phone
(512) 960-4717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Q4469 TX Primary

Addresses

Primary practice location

4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746

Mailing address

4201 Bee Caves Rd Ste C213
West Lake Hills, TX 78746-6458
Phone (512) 960-4717

National Provider Directory

National Provider Directory

Locations

4611 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 371-0301

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1740612845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD STE C213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466458",
            "telephone_number": "512-960-4717",
            "fax_number": "855-868-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD STE C213",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-960-4717",
            "fax_number": "855-868-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PAIN DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "MIRANDA-GRAJALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-960-4717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "Q4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.