# CENTRAL TEXAS PAIN INSTITUTE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497129274
- **Authorized official:** LORI FULLER (VP)
- **Authorized official phone:** (512) 485-7200

## Contact information

- **Practice address:** 3401 E MAIN ST, GATESVILLE, TX 76528-2694
- **Practice address phone:** (855) 876-7246
- **Practice address fax:** (855) 277-5070
- **Mailing address:** PO BOX 208361, DALLAS, TX 75320-8361
- **Mailing address phone:** (512) 485-7208
- **Mailing address fax:** (844) 364-8678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | J7566 | TX | Yes |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 09/30/2021