Provider Demographics
NPI:1114291283
Name:ADVANTAGE PAIN MANAGEMENT PLLC
Entity Type:Organization
Organization Name:ADVANTAGE PAIN MANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TRAMPOTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-359-6000
Mailing Address - Street 1:4243 E SOUTHCROSS BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3736
Mailing Address - Country:US
Mailing Address - Phone:210-359-6000
Mailing Address - Fax:210-359-6073
Practice Address - Street 1:4243 E SOUTHCROSS BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3736
Practice Address - Country:US
Practice Address - Phone:210-359-6000
Practice Address - Fax:210-359-6073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1480207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty