# PISA ASC HOLDCO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Institute of Southern Arizona Procedure Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174185649
- **Authorized official:** GREG TURK (DIRECTOR/OFFICER)
- **Authorized official phone:** (520) 333-7730

## Contact information

- **Practice address:** 4741 E CAMP LOWELL DRIVE, TUCSON, AZ 85712
- **Practice address phone:** (520) 318-6035
- **Practice address fax:** (520) 795-9953
- **Mailing address:** 4741 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
- **Mailing address phone:** (520) 829-6620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2019
- **Last updated:** 06/04/2024