Cleburne Interventional Pain Procedure Center LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

CLEBURNE INTERVENTIONAL PAIN PROCEDURE CENTER LLC

Practice address

121 S Westmeadow Dr Ste C
Cleburne, TX 76033-4590

Phone

(972) 234-4740

Fax

(972) 231-7095

NPI assigned

Jan 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ted Grosbeck

Title

Manager

Phone

(469) 362-6909

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1013248715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678439",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678439",
            "telephone_number": "972-234-4740",
            "fax_number": "817-645-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WESTMEADOW DR STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334590",
            "telephone_number": "972-234-4740",
            "fax_number": "972-231-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE INTERVENTIONAL PAIN PROCEDURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "GROSBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleburne Health Care LLC (Cleburne Rehabilitation and Health Care Center)
• Cleburne Imaging, LLC
• Cleburne Integrated Wellness PA
• Cleburne Internal Medicine Associates, PA
• Cleburne Interventional Pain & Surgery, LLC
• Cleburne Isd
• Cleburne OB & GYN Associates
• Cleburne Oral Surgery PA
• Cleburne Pathology, PA
• Cleburne Pediatrics P.a.

• Pain Clinic/Center in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.