Provider Demographics
NPI: | 1760554299 |
---|---|
Name: | THE PAIN INTERVENTION CENTER |
Entity type: | Organization |
Organization Name: | THE PAIN INTERVENTION CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | AUTHORIZED OFFICIAL |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | PATRICK |
Authorized Official - Middle Name: | H |
Authorized Official - Last Name: | WARING |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 504-347-1333 |
Mailing Address - Street 1: | PO BOX 679527 |
Mailing Address - Street 2: | |
Mailing Address - City: | DALLAS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75267-9527 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-347-1333 |
Mailing Address - Fax: | 504-347-4755 |
Practice Address - Street 1: | 701 METAIRIE RD |
Practice Address - Street 2: | UNIT 2A, SUITE 310 |
Practice Address - City: | METAIRIE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70005-4050 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-347-1333 |
Practice Address - Fax: | 504-347-4755 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-13 |
Last Update Date: | 2025-08-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Single Specialty |