Provider Demographics
NPI:1154016350
Name:CENTER FOR PAIN MANAGEMENT, LLC
Entity type:Organization
Organization Name:CENTER FOR PAIN MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PROVIDER ENROLLMENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7377
Mailing Address - Street 1:4000 MERIDIAN BLVD
Mailing Address - Street 2:PATTY BOU - ASC DIVISION
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:702-271-8476
Mailing Address - Fax:
Practice Address - Street 1:7470 N ORACLE RD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4440
Practice Address - Country:US
Practice Address - Phone:520-317-5015
Practice Address - Fax:520-317-5184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR PAIN MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-05
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical