Abilene Ambulatory Surgery Center for Pain Management, LLC
Organization Active NPI Pain Clinic/Center · Abilene, TX
NPI 1861494080 · NPPES record last updated Sep 17, 2008
Key facts
- NPI
- 1861494080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- License
- 007313 (TX)
- Legal business name
- ABILENE AMBULATORY SURGERY CENTER FOR PAIN MANAGEMENT, LLC
- Practice address
- 6399 Directors Pkwy
Suite 100
Abilene, TX 79606-5873 - Phone
- (325) 794-5450
- Fax
- (325) 794-5498
- NPI assigned
- Jun 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary Heath, M.D.
- Title
- Administrator
- Phone
- (325) 794-5450
National Provider Directory
Locations
6399 Directors Pkwy
Ste 100
Abilene, TX 79606
Phone (325) 794-5450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 007313 | TX | Yes |
Addresses
Primary practice location
6399 Directors Pkwy
Suite 100
Abilene, TX 79606-5873
Mailing address
6399 Directors Pkwy
Suite 100
Abilene, TX 79606-5873
Phone (325) 794-5450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150030801 | Medicaid | TX |
Other names
- Ambulatory Surgery Center for Pain Management
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.