Provider Demographics
NPI:1972536662
Name:HIGHPOINT PAIN CLINIC
Entity type:Organization
Organization Name:HIGHPOINT PAIN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-417-8782
Mailing Address - Street 1:800 W ARBROOK BLVD
Mailing Address - Street 2:STE. 300
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4327
Mailing Address - Country:US
Mailing Address - Phone:817-417-8782
Mailing Address - Fax:817-467-8848
Practice Address - Street 1:800 W ARBROOK BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4327
Practice Address - Country:US
Practice Address - Phone:817-417-8782
Practice Address - Fax:817-467-8848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0069MGOtherBCBS OF TX GROUP NUMBER
TX0069MGOtherBCBS OF TX GROUP NUMBER