Grapevine Interventional Pain Center, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GRAPEVINE INTERVENTIONAL PAIN CENTER, LLC

Practice address

1600 W Northwest Hwy
Grapevine, TX 76051-8112

Phone

(972) 479-1115

Fax

(972) 479-1118

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1215379698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674006",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674006",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518112",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE INTERVENTIONAL PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-08-01",
        "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": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grapevine Drug Mart Inc
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• Grapevine Health
• Grapevine Imaging & Pain Management Center LLC (Eclipse Imaging Pain Management Center-Grapevine)
• Grapevine Internal Medicine Centre
• Grapevine Kidney Center LLC (Grapevine Regional Dialysis Center)
• Grapevine Kids PLLC (Grapevine Kids Dental and Orthodontics)
• Grapevine Pain Management, LLC
• Grapevine Pediatric Clinic, PA
• Grapevine Pharmacy, Inc

• Pain Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.