Active NPI
ZL Interventional Pain Center, LLC
- Registered Nurse
- Addison, TX
National Provider Identifier
1184042640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 219885
- Legal business name
- ZL INTERVENTIONAL PAIN CENTER, LLC
- Practice address
- 17051 Dallas Pkwy
Addison, TX 75001-7101 - Phone
- (469) 916-0521
- Fax
- (972) 231-7095
- NPI assigned
- Apr 2, 2014
- 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
- Tracy Walls
- Title
- Manager
- Phone
- (972) 234-4740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 219885 | TX | Primary |
Addresses
Primary practice location
17051 Dallas Pkwy
Addison, TX 75001-7101
Mailing address
PO Box 674011
Dallas, TX 75267-4011
Phone (469) 916-0521
National Provider Directory
National Provider DirectoryLocations
17051 Dallas Pkwy
Addison, TX 75001
Phone (312) 498-4259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396396800000",
"number": "1184042640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674011",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674011",
"telephone_number": "469-916-0521",
"fax_number": "972-231-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17051 DALLAS PKWY",
"city": "ADDISON",
"state": "TX",
"postal_code": "750017101",
"telephone_number": "469-916-0521",
"fax_number": "972-231-7095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZL INTERVENTIONAL PAIN CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-02",
"last_updated": "2014-04-02",
"status": "A",
"authorized_official_last_name": "WALLS",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-234-4740"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "TX",
"license": "219885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.