Organization Active NPI

Premier Pain Care PA

  • Pain Medicine Physician
  • Denton, TX
National Provider Identifier
1912120841
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
H2060 Issued in TX
Legal business name
PREMIER PAIN CARE PA
Practice address
2435 W Oak St
Suite 103
Denton, TX 76201-2308
Phone
(940) 323-9404
Fax
(940) 323-9422
NPI assigned
Apr 10, 2007
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Carlos J Garcia, MDNPI 1164414793
Title
Physician
Phone
(940) 323-9404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X H2060 TX Primary

Addresses

Primary practice location

2435 W Oak St
Suite 103
Denton, TX 76201-2308

Mailing address

PO Box 50689
Denton, TX 76206-0689
Phone (940) 323-9404

Other identifiers 1

IdentifierTypeStateIssuer
0083HQOtherTXBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1108 Dallas Dr
Ste 310
Denton, TX 76205
Phone (940) 323-9404

2435 W Oak St
Ste 103
Denton, TX 76201
Phone (940) 323-9404

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1912120841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50689",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060689",
            "telephone_number": "940-323-9404",
            "fax_number": "940-323-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 W OAK ST",
            "address_2": "SUITE 103",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012308",
            "telephone_number": "940-323-9404",
            "fax_number": "940-323-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PAIN CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "940-323-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "H2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0083HQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.