WEST TEXAS PAIN SPECIALISTS, LLC (NPI# 1508479973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508479973 |
Entity Type | Organization |
Organization Name | WEST TEXAS PAIN SPECIALISTS, LLC |
Practice Address |
One Medical Plaza Pampa TX 79065-2821 |
Mailing Address |
100 W 30th Ave Pampa TX 79065-2814 |
Practice Telephone | 8066635600 |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |
Authorized Official Name | BRIAN E BLICK (OWNER) |
Authorized Official Telephone | 5803398001 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
ONE MEDICAL PLAZA |
City | PAMPA |
State | TX |
Zip Code | 79065-2821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649240805 | Joe L Lowry | Pathology | One Medical Plaza, Pampa, TX 79065-2819 | 2006-01-23 |
1871139857 | Stacy Lepsch | Nurse Practitioner | One Medical Plaza, Pampa, TX 79065 | 2019-11-25 |
1821631573 | Pampa Emergency Medical Group | Emergency Medicine | One Medical Plaza, Pampa, TX 79065 | 2019-10-25 |
1164079752 | Derek Smith | Clinical Pharmacology | One Medical Plaza, Pampa, TX 79065 | 2019-08-20 |
1265912430 | Houston Duckwall | Dietitian, Registered | One Medical Plaza, Pampa, TX 79065 | 2018-08-17 |
1225401516 | Libra Emergency Physicians, Pllc | Physician Assistant | One Medical Plaza, Pampa, TX 79065 | 2015-11-09 |
1740683887 | Prime Healthcare Services Pampa LLC | Medicare Defined Swing Bed Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2014-10-03 |
1295075976 | Spmg Signature Pampa Medical Group | Anesthesiology | One Medical Plaza, Attn: Pampa Medical Group Clinic Director, Pampa, TX 79065-2814 | 2013-02-18 |
1639438146 | Prime Healthcare Services Pampa LLC | Psychiatric Unit | One Medical Plaza, Pampa, TX 79065-0000 | 2012-05-04 |
1386902138 | Prime Healthcare Services Pampa LLC | General Acute Care Hospital | One Medical Plaza, Pampa, TX 79065-2821 | 2012-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841317690 | Assisted Living Concepts Inc | Assisted Living Facility | 812 W 25th Street, Pampa, TX 79065 | 2007-03-26 |
1225154826 | Assisted Living Concepts Inc | Assisted Living Facility | 3005 Ne 2nd Street, Mineral Wells, TX 79065 | 2007-03-22 |
1790851426 | Rene P Grabato | Urology | 2931 Perryton Parkway, Pampa, TX 79065 | 2006-11-27 |
1467548040 | Vijay Krishnan Mohan | Surgery | 104 E 30th, Pampa, TX 79065 | 2006-10-04 |
1114024858 | Shepards Crook Nursing Agency, Inc. | Home Health | 916 Crest Rd, Suite 101, Pampa, TX 79065 | 2006-09-17 |
1740391812 | David M. Hampton | Orthopaedic Surgery | 2931 Perryton Pkwy, Pampa, TX 79065 | 2006-08-31 |
1386759561 | Pampa Orthopedics and Rehab, Lp | Physical Therapist | 1201 N Hobart, Space 2j, Lubbock, TX 79065 | 2006-08-20 |
1124060967 | Steven Day Correa | Internal Medicine | 3023 Perryton Pkwy Ste 202, Pampa, TX 79065 | 2006-06-12 |
1215998661 | Gray Emergency Medicine Associates, Pa | Emergency Medicine | 1 Medical Plaza, Pampa, TX 79065 | 2006-03-28 |
1265402077 | Iota Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2545 Perryton Pkwy # 2b, Pampa, TX 79065 | 2006-01-24 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
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1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.