Provider Demographics
NPI:1457820599
Name:VED V AGGARWAL MD PA
Entity Type:Organization
Organization Name:VED V AGGARWAL MD PA
Other - Org Name:TEXAS PAIN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VED
Authorized Official - Middle Name:V
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-348-8600
Mailing Address - Street 1:1000 LIPSCOMB ST STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3181
Mailing Address - Country:US
Mailing Address - Phone:817-348-8600
Mailing Address - Fax:817-348-8602
Practice Address - Street 1:258 W RIDGE ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-4797
Practice Address - Country:US
Practice Address - Phone:817-348-8600
Practice Address - Fax:817-348-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00847WOtherMEDICARE