| Atx360 Physicians For Pain Management, Pllc | |
|
7700 Cat Hollow Dr Ste 203 Round Rock TX 78681-5799 | |
| (512) 734-8060 | |
| Not Available |
| Full Name | Atx360 Physicians For Pain Management, Pllc |
|---|---|
| Speciality | Pain Medicine |
| Location | 7700 Cat Hollow Dr Ste 203, Round Rock, Texas |
| Authorized Official Name and Position | Aditya B Pulikal (OWNER) |
| Authorized Official Contact | 5127348060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atx360 Physicians For Pain Management, Pllc 511 Oakwood Blvd Ste 200 Round Rock TX 78681-4068 Ph: (512) 734-8060 | Atx360 Physicians For Pain Management, Pllc 7700 Cat Hollow Dr Ste 203 Round Rock TX 78681-5799 Ph: (512) 734-8060 |
| NPI Number | 1881274280 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 2264837848 |
|---|---|
| Medicare Enrollment ID | O20210819001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881274280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
| Provider Name | Aditya B Pulikal |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1285993832 PECOS PAC ID: 9830448711 Enrollment ID: I20210819001770 |
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