THE PAIN MANAGEMENT CENTER OF TEXAS (NPI# 1306135629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306135629 |
| Entity Type | Organization |
| Organization Name | THE PAIN MANAGEMENT CENTER OF TEXAS |
| Other Organization Name | DANIEL R THEESFELD |
| Practice Address |
3000 Alemeda St Fort Worth TX 76116-5952 |
| Practice Telephone | 8175602454 |
| Practice Fax Number | 8175602450 |
| Mailing Telephone | 8175602454 |
| Mailing Fax Number | 8175602450 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-05-13 |
| Authorized Official Name | THERESA HENDERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 9037537333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
J3712 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Daniel R Theesfeld | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083861306 | The Pain Management Center of Texas | Specialist | 3000 Alemeda St, Fort Worth, TX 76116-5952 | 2008-08-19 |
| Street Address |
3000 ALEMEDA ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083861306 | The Pain Management Center of Texas | Specialist | 3000 Alemeda St, Fort Worth, TX 76116-5952 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366976441 | Accord Anesthesia Pllc | Anesthesiology | 7200 Oakmont Blvd, Fort Worth, TX 76132-3902 | 2017-04-17 |
| 1043534662 | Mike Martinez II | Anesthesiology | 120 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1228 | 2010-03-25 |
| 1891736138 | William C Moore | Anesthesiology | 6900 Harris Pkwy, Suite 300, Fort Worth, TX 76132-4255 | 2006-06-09 |
| 1568409944 | Craig B. Danshaw | Anesthesiology | 5801 Oakbend Trl Ste 230, Fort Worth, TX 76132 | 2006-06-02 |
| 1700851292 | Christopher C. Pratt | Anesthesiology | 1651 W Rosedale, Suite 205, Fort Worth, TX 76104-7437 | 2006-02-20 |
| 1114915402 | Sally Ann Hallgren | Anesthesiology | 311 University Dr, Fort Worth, TX 76107-1924 | 2005-10-11 |
| 1710524095 | Southlake Premier Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-05 |
| 1831736206 | Keller Anesthesia, Pllc | Anesthesiology | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 | 2019-12-04 |
| 1942769476 | Way Out West Spine and Mobility Pllc | Anesthesiology | 120 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1256 | 2019-03-14 |
| 1780195412 | Olympus Pain and Orthopedics | Anesthesiology | 1001 12th Ave Ste 154, Fort Worth, TX 76104-3929 | 2017-10-20 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on THE PAIN MANAGEMENT CENTER OF TEXAS.
| 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.