Organization
CENTRAL TEXAS PAIN INSTITUTE, PLLC
Active
Other names
Pain Specialists of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FULLER (ADMINISTRATOR)
(512) 485-7200
Entity
Organization
Contact information
Practice address
1401 MEDICAL PKWY STE 345, CEDAR PARK, TX 78613-7763
(512) 485-7200
(512) 485-7224
Mailing address
PO BOX 733946, DALLAS, TX 75373-3946
(512) 485-7200
(512) 485-7220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
J7566
TX
Other
Enumeration date
11/17/2015
Last updated
04/25/2019
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