Basic Information
| Provider Information | |||||||||
| NPI: | 1548389729 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TEXAS ANESTHESIA & PAIN MANAGEMENT INSTITUTE, P.A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 128 N HIGHWAY 77 | ||||||||
| Address2: | |||||||||
| City: | WAXAHACHIE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751651800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729387319 | ||||||||
| FaxNumber: | 9729239535 | ||||||||
| Practice Location | |||||||||
| Address1: | 128 N HIGHWAY 77 | ||||||||
| Address2: | |||||||||
| City: | WAXAHACHIE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751651800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729387319 | ||||||||
| FaxNumber: | 9729239535 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2007 | ||||||||
| LastUpdateDate: | 10/06/2014 | ||||||||
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| AuthorizedOfficialLastName: | TOVIAS | ||||||||
| AuthorizedOfficialFirstName: | JANIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9729387319 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | K7648 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.