Provider Demographics
NPI:1700419595
Name:ANTIPAIN LIFESTYLE, LLC
Entity Type:Organization
Organization Name:ANTIPAIN LIFESTYLE, LLC
Other - Org Name:PAINLESS WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:RUIZ
Authorized Official - Last Name:CADY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:669-237-2239
Mailing Address - Street 1:PO BOX 92844
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78709-2844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5920 W. WILLIAM CANNON DR.
Practice Address - Street 2:BUILDING SEVEN, SUITE 102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1216
Practice Address - Country:US
Practice Address - Phone:669-237-2239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty