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 |