OrganizationActive
Interventional Pain Management, PA
NPI 1114113669 · Pain Medicine (Anesthesiology) Physician · Nacogdoches, TX
Provider details
- NPI number
- 1114113669
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Interventional Pain Management, PA
- Organization subpart
- Yes
- Authorized official
- James Davis, Md/Owner(936) 560-2222
- License
- J8185 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3312 N University Dr
Suite J
Nacogdoches, TX 75965-2637
Phone: (936) 560-2222
Fax: (936) 569-1788
Approximate (ZIP-level) locationGet directions
Mailing address
3312 N University Dr
Nacogdoches, TX 75965-2637
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.