Provider Demographics
NPI:1669713137
Name:TEXAS PAIN AND SPINE PHYSICIANS
Entity type:Organization
Organization Name:TEXAS PAIN AND SPINE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-388-1190
Mailing Address - Street 1:PO BOX 2674
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78630-2674
Mailing Address - Country:US
Mailing Address - Phone:512-388-1190
Mailing Address - Fax:512-388-1174
Practice Address - Street 1:7215 WYOMING SPGS
Practice Address - Street 2:STE 300A
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4312
Practice Address - Country:US
Practice Address - Phone:512-388-1190
Practice Address - Fax:512-388-1174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4191207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty