Provider Demographics
NPI:1548389729
Name:TEXAS ANESTHESIA & PAIN MANAGEMENT INSTITUTE, P.A
Entity Type:Organization
Organization Name:TEXAS ANESTHESIA & PAIN MANAGEMENT INSTITUTE, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOVIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-938-7319
Mailing Address - Street 1:128 N HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1800
Mailing Address - Country:US
Mailing Address - Phone:972-938-7319
Mailing Address - Fax:972-923-9535
Practice Address - Street 1:128 N HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1800
Practice Address - Country:US
Practice Address - Phone:972-938-7319
Practice Address - Fax:972-923-9535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7648174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00961NMedicare PIN
TX00961NMedicare PIN