NPI Registry.org

Atx360 Physicians For Pain Management, Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ATX360 PHYSICIANS FOR PAIN MANAGEMENT, PLLC18812742802021-07-12

The organization Atx360 Physicians For Pain Management, Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1881274280. Registration indicates Atx360 Physicians For Pain Management, Pllc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Pain, ) (Clinic/Center Pain, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationATX360 PHYSICIANS FOR PAIN MANAGEMENT, PLLC
Practice Office Address511 OAKWOOD BLVD STE 200
ROUND ROCK, TX US
Practice Office Telephone5127348060
Practice Office Fax5128596684
Mailing Address2808 S INGRAM MILL RD BLDG B
SPRINGFIELD, MO 658044017 US
Business Telephone5127348060
Business Fax5128596684
Authorized OfficialADITYA B PULIKAL, OWNER
5127348060
HPT Codes
CodePractice
License No
State
261QM0801X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Mental Health (Including Community Mental Health Center),

Community Mental Health Center

Clinic/Center Mental Health (Including Community Mental Health Center),
Ambulatory Health Care Facilities
Clinic/Center
261QP3300X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Pain

Clinic/Center Pain
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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