National Provider Identifier Database

PERFORMANCE SPINE AND SPORTS MEDICINE
Pain Medicine

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.


Contact Information

PERFORMANCE SPINE AND SPORTS MEDICINE
4613 BEE CAVE RD STE 105
WEST LAKE HILLS, TX78746-5206
Phone: 512-327-8800
Fax: 512-327-8802
Website:
Specialty Taxonomy Code
* Pain Medicine 2081P2900X

* Indicates primary specialty

NPI Profile & details for PERFORMANCE SPINE AND SPORTS MEDICINE

NPI Number 1669769055
Legal business name
LBN
PERFORMANCE SPINE AND SPORTS MEDICINE
Authorized official VISHAL KANCHERLA - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/06/2011
Last updated 07/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: M6218

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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