Pain Care of North Texas, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008093 Issued in TX

Legal business name

PAIN CARE OF NORTH TEXAS, LLC

Practice address

1111 Raintree Cir
Suite 190
Allen, TX 75013-4901

Phone

(214) 509-9530

Fax

(214) 509-0240

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Meleleu

Title

Administrator

Phone

(214) 817-4225

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1942299441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIRCLE",
            "address_2": "STE 190",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "214-509-9530",
            "fax_number": "214-509-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR",
            "address_2": "SUITE 190",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "214-509-9530",
            "fax_number": "214-509-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE OF NORTH TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MELELEU",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-817-4225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT OF HEALTH",
            "identifier": "008093",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Brianna Pablico, OTR
• Indira Padmanabhan
• Moises Pagan Jr.
• Taylar Elizabeth Page, MOT
• Pain Care of North Texas
• Pain Care of Texas, Inc.
• George Palin, PTA
• Abelardo Palma Jr., M.S., CCC-SLP
• Hadleigh Paige Diane Palmer, RBT
• Pam Nerkowski Inc

• Ambulatory Surgical Clinic/Center in Allen, TX
• Providers in Allen, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.