Provider Demographics
NPI:1376211367
Name:GEMINI ANESTHESIA AND PAIN CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:GEMINI ANESTHESIA AND PAIN CONSULTANTS, PLLC
Other - Org Name:PAIN AND WELLNESS INSTITUTE OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-515-5131
Mailing Address - Street 1:19750 STATE HIGHWAY 46 W STE 104
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6881
Mailing Address - Country:US
Mailing Address - Phone:830-515-5131
Mailing Address - Fax:270-220-0513
Practice Address - Street 1:19750 STATE HIGHWAY 46 W STE 104
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6881
Practice Address - Country:US
Practice Address - Phone:830-515-5131
Practice Address - Fax:830-282-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty