Active NPI
Pain Management & Diagnostic Center
- Interventional Pain Medicine Physician
- Dallas, TX
National Provider Identifier
1083151369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PAIN MANAGEMENT & DIAGNOSTIC CENTER
- Practice address
- 8440 Walnut Hill LN
Ste 340
Dallas, TX 75231-3833 - Phone
- (214) 265-9991
- NPI assigned
- Jan 25, 2017
- Last updated
- Mar 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renaud Rodrigue, M.D.
- Title
- Physician/Owner
- Phone
- (214) 265-9991
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K4214 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | K4214 | TX | |
| Pain Medicine Physician | 208VP0000X | NU | ||
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
8440 Walnut Hill LN
Ste 340
Dallas, TX 75231-3833
Mailing address
8440 Walnut Hill LN
Ste 340
Dallas, TX 75231-3833
Phone (214) 265-9991
National Provider Directory
National Provider DirectoryLocations
2407 W Louisiana Ave
Midland, TX 79701
Phone (469) 708-4844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490054400000",
"number": "1083151369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 WALNUT HILL LN",
"address_2": "STE 340",
"city": "DALLAS",
"state": "TX",
"postal_code": "752313833",
"telephone_number": "214-265-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 WALNUT HILL LN",
"address_2": "STE 340",
"city": "DALLAS",
"state": "TX",
"postal_code": "752313833",
"telephone_number": "214-265-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT & DIAGNOSTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-25",
"last_updated": "2017-03-21",
"status": "A",
"authorized_official_last_name": "RODRIGUE",
"authorized_official_first_name": "RENAUD",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "214-265-9991",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K4214",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "K4214",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Pain & Injury Solutions PLLC
- Pain and Rehab Associates, PLLC
- Pain Control Institute, Inc.
- Pain Diagnostics and Treatment Center P a
- Pain Experts PA
- Pain Management Center of Dallas
- Pain Management Consultants PLLC
- Pain Management of Coppell
- Pain Management Physicians of Dallas PLLC (Dallas Pain Consultants)
- Pain Net Physicians Group, P.a. (Pain Net Physicians Group and Pain Net Physicians Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.