PAIN SPECIALISTS OF TEXAS, LP (NPI# 1548285000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548285000 |
| Entity Type | Organization |
| Organization Name | PAIN SPECIALISTS OF TEXAS, LP |
| Practice Address |
1759 Broad Park Circle Street South Suite 101 Mansfield TX 75052-3073 |
| Mailing Address |
1759 Broad Park Circle Street South Suite 101 Mansfield TX 76063 |
| Practice Telephone | 6825180682 |
| Practice Fax Number | 6825181334 |
| Mailing Telephone | 6825180682 |
| Mailing Fax Number | 6825181334 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | LYNNE GEORGE (BUSINESS MANAGER) |
| Authorized Official Telephone | 9726068980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
L5075,K3744 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS GROUP NUMBER | 0093NJ | 01 |
| Street Address |
1759 BROAD PARK CIRCLE STREET SOUTH SUITE 101 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 75052-3073 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942797527 | Mansfield Pain Services, LLC | Clinic/Center | 305 Regency Pkwy Ste 805, Mansfield, TX 76063-3794 | 2018-04-18 |
| 1356627988 | Burleson Interventional Pain Center, LLC | Clinic/Center | 1805 Owen Ct, Suite 119, Mansfield, TX 76063-4232 | 2011-10-27 |
| 1972889517 | Mansfield Interventional Pain Center, LLC | Clinic/Center | 1805 Owen Ct Ste 119, Suite 119, Mansfield, TX 76063-4233 | 2011-10-27 |
| 1740551241 | Rendon Interventional Pain Center LLC | Clinic/Center | 1805 Owen Ct, Suite 119, Mansfield, TX 76063-4232 | 2012-01-16 |
| 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 |
| 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 |
| 1538684378 | Texas Academy of Sports Medicine LLC | Clinic/Center | 3000 Sage Rd Apt 1161, Houston, TX 77056-6330 | 2017-08-12 |
| 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.