The Pain Management Center of Texas

Primary specialty

SpecialistTaxonomy code 174400000X

License

J3712 Issued in TX

Legal business name

THE PAIN MANAGEMENT CENTER OF TEXAS

Practice address

3000 Alemeda St
Fort Worth, TX 76116-5952

Phone

(817) 560-2454

Fax

(817) 560-2450

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Daniel R Theesfeld, MD

Title

Owner

Phone

(817) 560-2454

Specialties & licenses 1

Addresses

Tax ID family

Daniel R Theesfeld2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Pain Management Center of Texas

  dba Daniel R Theesfeld

  • Pain Medicine (Anesthesiology) Physician
  • Fort Worth, TX
  • NPI 1306135629
  NPD tax ID

Locations

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1083861306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALEMEDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165952",
            "telephone_number": "817-560-2454",
            "fax_number": "817-560-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALEMEDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165952",
            "telephone_number": "817-560-2454",
            "fax_number": "817-560-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN MANAGEMENT CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "THEESFELD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-560-2454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Magnolia Clinic, LLC
• The Main Pharmacy
• The Milk Mind LLC
• The Nest Counseling and Consulting PLLC
• The Oaks Life Center, PLLC
• The Pain Management Center of Texas (Daniel R Theesfeld)
• The Parenting Center
• The Prescription Shoppe
• The Process Advisors (The Joyful Life Counseling)
• The Rebrand Report, LLC

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.