Medical Centre Pain Management Associates P A
LBN: Medical Centre Pain Management Associates P A
Medical Centre Pain Management Associates P A is an health care organization with primary practice located at 1001 12Th Ave Ste 170 , Fort Worth TX 76104-3926. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Medical Centre Pain Management Associates P A can be contacted via phone (817) 810-0500, or through Marti, Alfredo L. via phone (817) 810-0500.
Contact Information
Primary practice address
1001 12Th Ave Ste 170
Fort Worth TX 76104-3926
Phone: (817) 810-0500
Fax: (817) 810-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1902855521 |
|---|---|
| LBN Legal business name | Medical Centre Pain Management Associates P A |
| DBA Doing business as | |
| Authorized official | Marti, Alfredo L. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jun 29th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902855521 | NPPES |
| Texas | Other | 0002JH | BLUE CROSS BLUE SHIELD |
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