Provider Demographics
NPI:1194019836
Name:APPLIED PAIN ASSOCIATES, PLLC
Entity type:Organization
Organization Name:APPLIED PAIN ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-328-1010
Mailing Address - Street 1:1001 12TH AVE
Mailing Address - Street 2:SUITE 172
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3926
Mailing Address - Country:US
Mailing Address - Phone:817-472-2189
Mailing Address - Fax:817-472-2188
Practice Address - Street 1:1001 12TH AVE
Practice Address - Street 2:SUITE 172
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3926
Practice Address - Country:US
Practice Address - Phone:817-328-1010
Practice Address - Fax:817-472-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-28
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty