Unknown Individual – Interventional Pain Medicine Physician, NPI 1013139286
Interventional Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 733946
DALLAS, TX 753733946
Phone: (512) 485-7200
Fax: (512) 485-7224
Type: Mailing
4100, Duval Road, North Loop Business Park, Austin, Travis County, Texas, 78759, United States
BLDG III SUITE 200
AUSTIN, TX 78759
Phone: (512) 485-7200
Fax: (512) 485-7224
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75373)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | TX | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 83 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Pain Management, Anesthesiology | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Pain Management | TX |
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