DUDYCHA PAIN CLINIC PLLC (NPI# 1528322807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528322807 |
| Entity Type | Organization |
| Organization Name | DUDYCHA PAIN CLINIC PLLC |
| Other Organization Name | BCS PAIN CLINIC |
| Practice Address |
1602 Rock Prairie Rd Ste 460 College Station TX 77845-8309 |
| Practice Telephone | 9797647246 |
| Practice Fax Number | 9797647242 |
| Mailing Telephone | 9797647246 |
| Mailing Fax Number | 9797647242 |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | DR. BENJAMIN DUDYCHA (DOCTOR) |
| Authorized Official Telephone | 9797647246 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
N1310 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BCS Pain Clinic | Doing Business As Name - Organization |
| Street Address |
1602 ROCK PRAIRIE RD STE 460 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987576 | Greater Houston Pain & Injury, Inc | Clinic/Center | 4411 Bluebonnet Dr Ste 100, Stafford, TX 77477-2912 | 2020-09-16 |
| 1538706718 | Consultants In Pain Medicine, Pa | Clinic/Center | 332 W Sunset Rd Ste 3, San Antonio, TX 78209-1755 | 2019-12-05 |
| 1982249405 | Ikon Pain Management Consultants Pllc | Clinic/Center | 8300 Douglas Ave Ste 800, Dallas, TX 75225-5826 | 2019-11-07 |
| 1700443298 | Synapse Pain Management, Pllc | Clinic/Center | 6760 Pistoia Dr, Frisco, TX 75034-2381 | 2019-05-21 |
| 1306302062 | Quicksilver Billing | Clinic/Center | 14215 Marin Dr, Cypress, TX 77429-4962 | 2019-02-18 |
| 1518458215 | Centers for Pain Relief Pllc | Clinic/Center | 2416 W Holcombe Blvd Ste A, Houston, TX 77030-1902 | 2018-05-29 |
| 1942797527 | Mansfield Pain Services, LLC | Clinic/Center | 305 Regency Pkwy Ste 805, Mansfield, TX 76063-3794 | 2018-04-18 |
| 1427554880 | Pain Institute of Laredo | Clinic/Center | 5401 Mcpherson Rd Ste 9, Laredo, TX 78041 | 2018-04-04 |
| 1588165344 | Revolution Pain Management, Pllc | Clinic/Center | 1485 Fm 1960 Bypass Rd E Ste 360, Humble, TX 77338-3964 | 2018-02-26 |
| 1427562891 | Midcounty Pain Services, LLC | Clinic/Center | 2501 Jimmy Johnson Blvd Ste 201b, Port Arthur, TX 77640-2009 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on DUDYCHA PAIN CLINIC PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.