| Headache & Pain Center | |
|
4407 Bee Cave Rd Suite 211 West Lake Hills TX 78746-6405 | |
| (512) 330-0961 | |
| (512) 330-0962 |
| Full Name | Headache & Pain Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4407 Bee Cave Rd, West Lake Hills, Texas |
| Authorized Official Name and Position | Rajat Gupta (PRESIDENT) |
| Authorized Official Contact | 5123300961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headache & Pain Center 4407 Bee Cave Rd Suite 211 West Lake Hills TX 78746-6405 Ph: (512) 330-0961 | Headache & Pain Center 4407 Bee Cave Rd Suite 211 West Lake Hills TX 78746-6405 Ph: (512) 330-0961 |
| NPI Number | 1013014224 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9739184920 |
|---|---|
| Medicare Enrollment ID | O20060921000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013014224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | K0794 (Texas) | Primary |
| Provider Name | Rajat Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225031552 PECOS PAC ID: 4587697842 Enrollment ID: I20100916001276 |
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