Provider Demographics
NPI:1396611182
Name:ABILENE ADVANCED PAIN INSTITUTE
Entity type:Organization
Organization Name:ABILENE ADVANCED PAIN INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-201-3042
Mailing Address - Street 1:2225 S DANVILLE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4779
Mailing Address - Country:US
Mailing Address - Phone:325-326-3433
Mailing Address - Fax:325-378-9175
Practice Address - Street 1:2225 S DANVILLE DR STE 1
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4779
Practice Address - Country:US
Practice Address - Phone:325-326-3433
Practice Address - Fax:325-378-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty