Provider Demographics
NPI:1760554299
Name:THE PAIN INTERVENTION CENTER
Entity Type:Organization
Organization Name:THE PAIN INTERVENTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:H
Authorized Official - Last Name:WARING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-347-1333
Mailing Address - Street 1:PO BOX 952456
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31192-2456
Mailing Address - Country:US
Mailing Address - Phone:504-347-1333
Mailing Address - Fax:504-347-4755
Practice Address - Street 1:701 METAIRIE RD
Practice Address - Street 2:UNIT 2A, SUITE 310
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4050
Practice Address - Country:US
Practice Address - Phone:504-347-1333
Practice Address - Fax:504-347-4755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty