Organization Active NPI

Outpatient Center for Interventional Pain Management, P.a.

  • Pain Clinic/Center
  • Edinburg, TX
National Provider Identifier
1760605273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
OUTPATIENT CENTER FOR INTERVENTIONAL PAIN MANAGEMENT, P.A.
Practice address
2637 Cornerstone Blvd
Edinburg, TX 78539-8479
Phone
(956) 631-9041
Fax
(956) 972-0549
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Revi Sanker
Title
C.E.O.
Phone
(956) 631-9041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

2637 Cornerstone Blvd
Edinburg, TX 78539-8479

Mailing address

2637 Cornerstone Blvd
Edinburg, TX 78539-8479
Phone (956) 631-9041

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760605273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398479",
            "telephone_number": "956-631-9041",
            "fax_number": "956-972-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398479",
            "telephone_number": "956-631-9041",
            "fax_number": "956-972-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT CENTER FOR INTERVENTIONAL PAIN MANAGEMENT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANKER",
        "authorized_official_first_name": "REVI",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "956-631-9041"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.