Provider Demographics
NPI:1013038801
Name:PAIN AND ANESTHESIA ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:PAIN AND ANESTHESIA ASSOCIATES, PLLC
Other - Org Name:THE HEADACHE AND PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-440-7246
Mailing Address - Street 1:5700 NORTH EXPRESSWAY 77/83
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520
Mailing Address - Country:US
Mailing Address - Phone:956-350-0900
Mailing Address - Fax:
Practice Address - Street 1:5700 NORTH EXPRESSWAY 77/83
Practice Address - Street 2:SUITE 101
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-350-0900
Practice Address - Fax:956-350-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty