Shrive Headache and Pain Consultants

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

K3753 Issued in TX

Legal business name

SHRIVE HEADACHE AND PAIN CONSULTANTS

Practice address

12606 Greenville Ave
Dallas, TX 75243-1921

Phone

(210) 737-4406

Fax

(888) 770-6360

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Lance M Hoover

Title

Admin

Phone

(210) 737-4406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1164922365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797992",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753797992",
            "telephone_number": "210-737-4406",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "210-737-4406",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIVE HEADACHE AND PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "210-737-4406"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K3753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karina Shroff, LPC
• Neel Kamlesh Shroff, MD
• Daniel Brian Shropshire, OD
• SHSD, LLC
• Stephen K. Shu, DO

• Pain Medicine (Anesthesiology) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.