Allied Pain Management Clinic P.A.
Family Medicine in Tyler, TX. Organization (NPI-2).
NPI number1568658920
StatusActive
Last updated in NPPESOct 27, 2007
Details
- NPI
- 1568658920
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Pain Management Clinic P.A.
- Organization subpart
- No
- Enumeration date
- Sep 19, 2007
- Last updated
- Oct 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | H4166 | TX | Yes |
| 1041C0700X | Social Worker, Clinical | 30239 | TX | |
| 111N00000X | Chiropractor | DC5099 | TX | |
| 207QG0300X | Family Medicine, Geriatric Medicine | H4166 | TX | |
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | H4166 | TX | |
| 208VP0000X | H4166 | TX |
Practice location
5201 S Broadway AveSuite 200
Tyler, TX 75703-3748
Phone 903-595-6078 · Fax 903-509-2545
Mailing address
5201 S Broadway AveSuite 200
Tyler, TX 75703-3748
Phone 903-595-6078 · Fax 903-509-2545
Authorized official
Amy J. Blanton
Office Manager
9035956078
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Tyler, TX
- Stacy Delyn Abernathy, MDNPI 1346335593
- Kareematulai Oluwatoyin Arogundade, MDNPI 1508067307
- Dr. Nirmala P Bangalore, MDNPI 1669498689
- Dr. Joshua T Barker, MDNPI 1881191567
- Ronald David Beals, M.D.NPI 1114206455
- Urszula Bedkowska, MDNPI 1649268954
- Michael Thomas Beets, M.D.NPI 1669521407
- Andrew E Bentley, MDNPI 1326151523
- Dr. Paula Alinda Bessonett, MDNPI 1144209354
- Dr. Sarah Elizabeth Bostick, D.O.NPI 1205585056
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.