AUSTIN INTERVENTIONAL PAIN AND WELLNESS
NPI 1124508841
Pain Medicine - Interventional Pain Medicine in Georgetown, TX

Active since August 21, 2018
1900 SCENIC DR STE 1108, GEORGETOWN, TX 78626(512) 400-4195(512) 287-5563 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2020, Aug 19, 2019, Dec 18, 2018 and 1 more (4 updates tracked since 2018).

  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About AUSTIN INTERVENTIONAL PAIN AND WELLNESS

This page provides the complete NPI Profile along with additional information for Austin Interventional Pain And Wellness, a provider established in Georgetown, Texas operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1124508841 assigned on August 2018. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Austin Interventional Pain And Wellness operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Devin Peck (Md)

NPI
1124508841 Verify this NPI
Provider Name
AUSTIN INTERVENTIONAL PAIN AND WELLNESS
Entity Type
Organization
Location Address
1900 SCENIC DR STE 1108 GEORGETOWN, TX 78626
Location Phone
(512) 400-4195
Location Fax
(512) 287-5563
Mailing Address
PO BOX 674029 DALLAS, TX 75267
Mailing Phone
(512) 400-4195
Mailing Fax
(512) 287-5563
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2018
Last Update Date
01-22-2020
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Location Map

Secondary Locations

  • 715 Discovery Blvd Ste 102
    Cedar Park, TX 78613
    (512) 400-4195
  • 12309 N Mopac Expy Ste 125
    Austin, TX 78758
    (512) 400-4195

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEVIN PECK

Authorized Official Title
MD
Authorized Official Phone
(972) 503-6863

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
1900 SCENIC DR STE 1108
GEORGETOWN, TX 78626
Pain Medicine (Interventional Pain Medicine)
1900 SCENIC DR STE 1108
GEORGETOWN, TX 78626
Pain Medicine (Interventional Pain Medicine)
1900 SCENIC DR STE 1108
GEORGETOWN, TX 78626
Pain Medicine (Interventional Pain Medicine)
1900 SCENIC DR STE 1108
GEORGETOWN, TX 78626
Anesthesiology (Pain Medicine)
1900 SCENIC DR STE 1108
GEORGETOWN, TX 78626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124508841, enumerated as an "organization" on August 21, 2018.

The provider is located at 1900 SCENIC DR STE 1108 GEORGETOWN, TX 78626 and the phone number is (512) 400-4195.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.