Basic Information
| Provider Information | |||||||||
| NPI: | 1437442027 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PAIN IMAGING PARTNERS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 W 38TH ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787051127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5125013840 | ||||||||
| FaxNumber: | 5125013841 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 W 38TH ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787051127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5125013840 | ||||||||
| FaxNumber: | 5125013841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2011 | ||||||||
| LastUpdateDate: | 10/13/2011 | ||||||||
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| AuthorizedOfficialLastName: | MCKINNEY | ||||||||
| AuthorizedOfficialFirstName: | SHAWN | ||||||||
| AuthorizedOfficialMiddleName: | RENEE | ||||||||
| AuthorizedOfficialTitleorPosition: | MGR | ||||||||
| AuthorizedOfficialTelephone: | 5125013840 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
No ID Information.