Provider Demographics
NPI:1912343518
Name:GLOBAL PAIN CARE ASSOCIATES, LLC
Entity type:Organization
Organization Name:GLOBAL PAIN CARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIV
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-365-6255
Mailing Address - Street 1:722 S. DENTON TAP ROAD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019
Mailing Address - Country:US
Mailing Address - Phone:972-365-6255
Mailing Address - Fax:
Practice Address - Street 1:722 S DENTON TAP RD
Practice Address - Street 2:SUITE 190
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4554
Practice Address - Country:US
Practice Address - Phone:972-365-6255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207LH0002X, 261QP3300X
TXK6317207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
No207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative MedicineGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Single Specialty