Provider Demographics
NPI:1356732903
Name:PAIN PARTNERS OF TEXAS PLLC
Entity type:Organization
Organization Name:PAIN PARTNERS OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:VIJE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-534-5039
Mailing Address - Street 1:1927 LOHMANS CROSSING RD
Mailing Address - Street 2:TOWER 1, SUITE 202
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5239
Mailing Address - Country:US
Mailing Address - Phone:512-534-5039
Mailing Address - Fax:512-857-0620
Practice Address - Street 1:1927 LOHMANS CROSSING RD
Practice Address - Street 2:TOWER 1, SUITE 202
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5239
Practice Address - Country:US
Practice Address - Phone:512-534-5039
Practice Address - Fax:512-857-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207LP2900X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty