PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC (NPI# 1316568512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316568512 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC |
| Practice Address |
4560 Lake Ridge Pkwy Ste 300 Grand Prairie TX 75052-1706 |
| Mailing Address |
1411 N Beckley Ave Ste 152 Dallas TX 75203-1586 |
| Practice Telephone | 2149487700 |
| Mailing Telephone | 2149487700 |
| Mailing Fax Number | 2149487701 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | TREVOR T KRAUS (OWNER/PARTNER) |
| Authorized Official Telephone | 2149487700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dallas Pain Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184685 | Pain Management Physicians of Dallas, Pllc | Clinical Medical Laboratory | 8404 Sterling St Ste B, Irving, TX 75063-2527 | 2020-04-29 |
| 1902427107 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 10400 N Central Expy, Dallas, TX 75231-2297 | 2020-04-29 |
| 1356962468 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2020-04-29 |
| 1164043279 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 7300 Eldorado Pkwy Ste 165, Mckinney, TX 75070-7894 | 2020-04-29 |
| 1679194872 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 2001 N Macarthur Blvd Ste 335, Irving, TX 75061-2298 | 2020-04-29 |
| 1811448715 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 7501 Lakeview Pkwy Ste 245, Rowlett, TX 75088-9326 | 2016-10-17 |
| 1568768356 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 1125 Raintree Cir Ste 100, Allen, TX 75013-5289 | 2011-01-27 |
| 1184943128 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 1411 N. Beckley Ave., Pav. IIi, Suite #152, Dallas, TX 75203 | 2010-05-28 |
| Street Address |
4560 LAKE RIDGE PKWY STE 300 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| 1013575653 | University Pain Pllc | Pain Medicine | 4 Stillforest St, Houston, TX 77024-7518 | 2019-05-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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| 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.