Provider Demographics
NPI:1326066069
Name:TEXAS SPECIALTY HOSPITAL MANAGERS, INC.
Entity Type:Organization
Organization Name:TEXAS SPECIALTY HOSPITAL MANAGERS, INC.
Other - Org Name:SHERMAN PAIN CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-321-5577
Mailing Address - Street 1:49 MUSIC SQ W
Mailing Address - Street 2:SUITE 502
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3213
Mailing Address - Country:US
Mailing Address - Phone:615-321-5577
Mailing Address - Fax:615-321-5566
Practice Address - Street 1:1111 GALLAGHER DR
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1713
Practice Address - Country:US
Practice Address - Phone:903-870-7424
Practice Address - Fax:903-870-7184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDE5208OtherRAIL ROAD MEDICARE
TXDE5208OtherRAIL ROAD MEDICARE