Camden Interventional Pain Center, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CAMDEN INTERVENTIONAL PAIN CENTER, LLC

Practice address

1778 N Plano Rd
Suite 300B
Richardson, TX 75081-1968

Phone

(972) 234-4740

NPI assigned

Oct 17, 2014

Organization subpart

No

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

Authorized official

Name

Tracy Walls

Title

President

Phone

(972) 234-4740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1013311141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 N PLANO RD",
            "address_2": "SUITE 300B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 N PLANO RD",
            "address_2": "SUITE 300B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811968",
            "telephone_number": "972-234-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN INTERVENTIONAL PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-234-4740"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisca Ynes Calvo, EIS
• Gabriella Camacho
• Natalia Camacho
• Soumaila Camara
• Cambridge Interventional Pain Center LLC
• Kristin Nicole Cameron
• Camp Medical Management, LLC
• Donald L. Camp, LPC, LMFT
• Stephanie Halpin Camp, CCC-SLP
• Campbell Rd. Medical Imaging, LLC

• Certified Registered Nurse Anesthetist in Richardson, TX
• Providers in Richardson, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.