TRICITY PAIN ASSOCIATES PA (NPI# 1619244720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619244720 |
| Entity Type | Organization |
| Organization Name | TRICITY PAIN ASSOCIATES PA |
| Other Organization Name | PHASE 4 PHYSIOTHERAPY |
| Practice Address |
110 Stone Oak Loop Ste 103 San Antonio TX 78258-3511 |
| Mailing Address |
19141 Stone Oak Pkwy Ste 104 San Antonio TX 78258-3367 |
| Practice Telephone | 2102680129 |
| Practice Fax Number | 2103144609 |
| Mailing Telephone | 2102680129 |
| Mailing Fax Number | 2105684064 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DR. URFAN A DAR (CEO) |
| Authorized Official Telephone | 2102680129 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Phase 4 Physiotherapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 876 Loop 337, Suite 201, New Braunfels, TX 781303553 | 2102680153 | 2104978333 |
| 28255 Interstate 10 W Ste 103, Boerne, TX 780066508 | 2109797500 | 8338417131 |
| 8401 Datapoint Dr Ste 401, San Antonio, TX 782295925 | 2109797500 | 8338417131 |
| 20323 Huebner Rd Ste 104, San Antonio, TX 782583446 | 2109797500 | 8338417131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
| 1235742396 | Tricity Pain Associates Pa | Anesthesiology | 1011 S State Highway 16 Ste 5, Fredericksburg, TX 78624-4472 | 2020-08-28 |
| 1487271193 | Tricity Pain Associates Pa | Anesthesiology | 94 Briggs St Ste 500, San Antonio, TX 78224-1285 | 2020-06-29 |
| 1881229565 | Tricity Pain Associates Pa | Physical Therapist | 20323 Huebner Rd Ste 104, San Antonio, TX 78258-3446 | 2020-03-03 |
| 1659984615 | Tricity Pain Associates Pa | Anesthesiology | 861 Landa St, New Braunfels, TX 78130-6115 | 2020-08-28 |
| 1487262093 | Tricity Pain Associates Pa | Anesthesiology | 1110 Cottonwood Ln Ste 110, Irving, TX 75038-6121 | 2020-07-20 |
| 1619592334 | Tricity Pain Associates Pa | Anesthesiology | 540 Madison Oak Dr Ste 440, San Antonio, TX 78258-3922 | 2020-06-09 |
| 1356965131 | Tricity Pain Associates Pa | Anesthesiology | 4325 N Josey Ln Ste 206, Carrollton, TX 75010-4637 | 2020-06-08 |
| 1326672296 | Tricity Pain Associates Pa | Physical Therapist | 28255 Interstate 10 W Ste 103, Boerne, TX 78006-6508 | 2020-02-28 |
| 1740814623 | Tricity Pain Associates Pa | Physical Therapist | 8401 Datapoint Dr Ste 401, San Antonio, TX 78229-5925 | 2020-02-28 |
| Street Address |
110 STONE OAK LOOP STE 103 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524806 | Joshua T Shroll | Specialist | 110 Stone Oak Loop Ste 103, San Antonio, TX 78258 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178794 | Premier Interventional Pain Management, P.l.l.c | Pain Medicine | 8235 S New Braunfels Ste 211, San Antonio, TX 78235-4439 | 2019-01-15 |
| 1558839795 | Premier Pain Consultants, Pllc | Pain Medicine | 5522 Lone Star Pkwy, San Antonio, TX 78253-6719 | 2018-11-06 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1821341355 | Central Texas Pain Center South Pllc | Pain Medicine | 250 E Basse Rd Ste 207, San Antonio, TX 78209-8409 | 2012-10-22 |
| 1609156660 | Michael Mckee | Pain Medicine | 20079 Stone Oak Pkwy Ste 1245, San Antonio, TX 78258-6957 | 2011-08-23 |
| 1831320035 | Akintomi A Olugbodi | Pain Medicine | 2425 Babcock Rd Ste 111, San Antonio, TX 78229-4899 | 2009-08-05 |
| 1407095094 | Maged Mina, Md | Pain Medicine | 18626 Hardy Oak Ste 220, San Antonio, TX 78258-4219 | 2009-02-05 |
| 1043262264 | Robert Hugh Overbaugh | Pain Medicine | 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 | 2006-05-16 |
| 1568428589 | Arthur Samuel Hernandez | Pain Medicine | 88 Briggs St, Ste 250, San Antonio, TX 78224-1271 | 2006-04-26 |
| 1093335655 | Shyam Purswani Md Pllc | Pain Medicine | 2425 Babcock Rd Ste 108, San Antonio, TX 78229-4899 | 2020-04-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on TRICITY PAIN ASSOCIATES PA.
| 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.