Desoto Pain Partners, LP

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

DESOTO PAIN PARTNERS, LP

Practice address

1026 E Wheatland Rd
Duncanville, TX 75116

Phone

(972) 234-4740

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Ted Grosebeck

Title

VP Operations

Phone

(469) 682-6742

Specialties & licenses 1

Addresses

Other names 1

• Wheatland Procedure Center Doing business as

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225190366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269006",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73126",
            "telephone_number": "972-479-1129",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75116",
            "telephone_number": "972-234-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO PAIN PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSEBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "469-682-6742"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheatland Procedure Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen De Oliveira
• Harold Cariaga Delasalas, PHARMD, MD
• Dental Delite of Duncanville
• Kesia Derilus
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• Mark Dezeeuw
• DFW Rehab & Diagnostic
• Divih, PLLC

• All providers in Duncanville, TX
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.