Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1053300970
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4100 DUVAL RD BLDG III
SUITE 200
AUSTIN, TX 787593550
Phone: (512) 485-7200
Fax: (512) 485-7224
Type: Mailing
201, Old Hewitt Road, Waco, McLennan County, Texas, 76712, United States
STE D
WACO, TX 767123548
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 78759)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 128 | 79 |
| PAIN MANAGEMENT | TX | 62311 | Injections of substances into lower or sacral spine | 149 | 80 |
| PAIN MANAGEMENT | TX | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 89 | 61 |
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