Provider Demographics
NPI:1508512443
Name:TRICITY PAIN ASSOCIATES PA
Entity Type:Organization
Organization Name:TRICITY PAIN ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:URFAN
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:DAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-268-0158
Mailing Address - Street 1:PO BOX 642016
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75264-2016
Mailing Address - Country:US
Mailing Address - Phone:210-268-0129
Mailing Address - Fax:210-314-4609
Practice Address - Street 1:4544 S LAMAR BLVD STE 740
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1500
Practice Address - Country:US
Practice Address - Phone:210-268-0129
Practice Address - Fax:210-314-4609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty