Organization Active NPI

Elite Pain Management & Monitoring

  • Pain Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1093190803
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ELITE PAIN MANAGEMENT & MONITORING
Practice address
6805 NE Loop 820
Suite 408
Fort Worth, TX 76180-6687
Phone
(817) 581-7246
Fax
(817) 581-7248
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. Rick Lynn Enlow, FNP-C
Title
Clinic Director
Phone
(817) 581-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X TX Primary

Addresses

Primary practice location

6805 NE Loop 820
Suite 408
Fort Worth, TX 76180-6687

Mailing address

6805 NE Loop 820
Suite 408
Fort Worth, TX 76180-6687
Phone (817) 581-7246

National Provider Directory

National Provider Directory
Tax ID family
Elite Pain Management and Monitoring2 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.

Locations

6805 NE Loop 820
Ste 408
North Richland Hills, TX 76180
Phone (817) 520-5260

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1093190803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820",
            "address_2": "SUITE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-581-7246",
            "fax_number": "817-581-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820",
            "address_2": "SUITE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-581-7246",
            "fax_number": "817-581-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN MANAGEMENT & MONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "ENLOW",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "817-581-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.