Organization Active NPI

Born Again Chronic Pain Management

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1760616338
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20067 Issued in TX
Legal business name
BORN AGAIN CHRONIC PAIN MANAGEMENT
Practice address
514 El Paso St
San Antonio, TX 78207-5006
Phone
(210) 467-2005
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Romo Pardo
Title
President
Phone
(210) 467-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 20067 TX Primary

Addresses

Primary practice location

514 El Paso St
San Antonio, TX 78207-5006

Mailing address

PO Box 14237
San Antonio, TX 78214-0237
Phone (210) 467-2005

National Provider Directory

National Provider Directory

Locations

514 El Paso St
San Antonio, TX 78207
Phone (210) 467-2005

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1760616338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14237",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782140237",
            "telephone_number": "210-467-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 EL PASO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075006",
            "telephone_number": "210-467-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN AGAIN CHRONIC PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "ROMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-467-2005"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.