Cental Texas Pain Institute, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

J7566 Issued in TX

Legal business name

CENTAL TEXAS PAIN INSTITUTE, PA

Doing business as

Pain Specialists of Austin

Practice address

3401 E Main St
Gatesville, TX 76528-2694

Phone

(512) 485-7200

Fax

(512) 485-7220

NPI assigned

Nov 17, 2015

Last updated

Sep 30, 2021By 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

Elena Fuentes

Title

Ao

Phone

(512) 485-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAIN SPECIALISTS OF AUSTIN Doing business as

Tax ID family

Central Texas Pain Institute PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Central Texas Pain Institute, PLLC

  dba Pain Specialists of Austin

  • Multi-Specialty Clinic/Center
  • Bastrop, TX
  • NPI 1215114731
  NPD tax ID
• Central Texas Pain Institute, PLLC

  dba Pain Specialists of Austin

  • Durable Medical Equipment & Medical Supplies
  • Cedar Park, TX
  • NPI 1942674726
  NPD tax ID

Locations

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1750755534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208361",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208361",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282694",
            "telephone_number": "512-485-7200",
            "fax_number": "512-485-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTAL TEXAS PAIN INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "512-485-7200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "J7566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00R03W",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN SPECIALISTS OF AUSTIN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PAIN SPECIALISTS OF AUSTIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Byrd
• Robyn Shults Campbell
• Derek Carver
• Robert William Cater, D.D.S.
• Kellie Diane Cazier, BS
• Central Texas Pain Institute, PLLC
• Sheldon Chaffer II, M.D.
• Jessica Nicole Christian, PA-C
• Courtney Chung, PA-C
• Angelica Clark, PA-C

• Durable Medical Equipment & Medical Supplies in Gatesville, TX
• Providers in Gatesville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.