STONEBROOK INTERVENTIONAL PAIN CENTER LLC (NPI# 1326384595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326384595 |
| Entity Type | Organization |
| Organization Name | STONEBROOK INTERVENTIONAL PAIN CENTER LLC |
| Practice Address |
1201 Summit Ave Suite 400 Ft Worth TX 76102-4413 |
| Mailing Address |
Po Box 674315 Dallas TX 75267-4315 |
| Practice Telephone | 8173340990 |
| Practice Fax Number | 8175710897 |
| Mailing Telephone | 9714791115 |
| Mailing Fax Number | 9723468015 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | TED GROSBECK (MANAGER) |
| Authorized Official Telephone | 4693626909 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
1201 SUMMIT AVE SUITE 400 |
| City | FT WORTH |
| State | TX |
| Zip Code | 76102-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285077206 | Fw Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Ft Worth, TX 76102-4413 | 2013-04-09 |
| 1184961583 | Henderson Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Ft Worth, TX 76102-4413 | 2013-01-07 |
| 1144505702 | Rosedale Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Ft Worth, TX 76102-4413 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113746 | Deirdre P Browne | Counselor | 1500 E El Paso, Fort Worth, TX 76102 | 2018-08-07 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1316448061 | Diondra Deshawn Narcisse | Licensed Vocational Nurse | 1314 Lake Street, Fort Worth, TX 76102 | 2018-02-27 |
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1104324516 | Vicki Webb-baker | Health Educator | 512 Lamar Street, Suite 400, Fort Worth, TX 76102 | 2018-01-31 |
| 1235647678 | Brianna Marie Keister | Occupational Therapist | 201 W. Lancaster Ave, 417, Fort Worth, TX 76102 | 2018-01-19 |
| 1437507910 | Medical Hearing Services, LLC | Hearing Aid Equipment | 1201 Summit Avenue, Fort Worth, TX 76102 | 2016-05-25 |
| 1891171476 | Karis Starke | Physical Therapy Assistant | 2500 West Freeway (i-30), 100, Fort Worth, TX 76102 | 2015-08-05 |
| 1265839344 | Fm Katy Dental and Orthodontics, Pllc | Dentist | 100 E 15th Ste 520, Fort Worth, TX 76102 | 2014-12-04 |
| 1093134512 | Superior Evaluation Services | General Practice | 420 Throckmorton Suite 200, Ft. Worth, TX 76102 | 2014-04-11 |
| Find all providers in zip 76102 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285077206 | Fw Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Ft Worth, TX 76102-4413 | 2013-04-09 |
| 1184961583 | Henderson Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Ft Worth, TX 76102-4413 | 2013-01-07 |
| 1144505702 | Rosedale Interventional Pain Center, LLC | Clinic/Center | 1201 Summit Ave, Suite 400, Ft Worth, TX 76102-4413 | 2011-10-14 |
| 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 | ||||
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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.