Provider Demographics
NPI:1013803147
Name:PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
Entity type:Organization
Organization Name:PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD FINANCIAL REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:FEILER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:346-308-6741
Mailing Address - Street 1:PO BOX 649834
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75264-9834
Mailing Address - Country:US
Mailing Address - Phone:346-308-6741
Mailing Address - Fax:346-571-2189
Practice Address - Street 1:1650 W BAKER RD STE A
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2284
Practice Address - Country:US
Practice Address - Phone:346-217-1111
Practice Address - Fax:346-571-2189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment