Provider Demographics
NPI:1609452978
Name:TEXAS PAIN CENTER ASC
Entity Type:Organization
Organization Name:TEXAS PAIN CENTER ASC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:512-380-4148
Mailing Address - Street 1:9010 BRODIE LN STE D200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5183
Mailing Address - Country:US
Mailing Address - Phone:512-380-4148
Mailing Address - Fax:
Practice Address - Street 1:9010 BRODIE LN STE D200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5183
Practice Address - Country:US
Practice Address - Phone:512-380-4148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical