Active NPI
Metro Pain Management Center
- Pain Medicine (Anesthesiology) Physician
- Dallas, TX
National Provider Identifier
1295055515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- D6942
- Legal business name
- METRO PAIN MANAGEMENT CENTER
- Practice address
- 8204 Elmbrook Dr
117
Dallas, TX 75247-4067 - Phone
- (817) 834-8214
- Fax
- (817) 923-2913
- NPI assigned
- Jun 9, 2010
- Organization subpart
- Yes
- Parent organization
- FORT WORTH PAIN MANAGEMENT CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Brown
- Title
- Coo
- Phone
- (817) 834-8214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | D6942 | TX | Primary |
Addresses
Primary practice location
8204 Elmbrook Dr
117
Dallas, TX 75247-4067
Mailing address
6333 Airport Fwy
102
Fort Worth, TX 76117-5323
Phone (817) 834-8214
National Provider Directory
National Provider Directory- Part of
- Fort Worth Pain Management Center LLC
Locations
8204 Elmbrook Dr
Ste 117
Dallas, TX 75247
Phone (214) 276-0902
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Fort Worth, TX
- NPI 1962624791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1295055515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 AIRPORT FWY",
"address_2": "102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761175323",
"telephone_number": "817-834-8214",
"fax_number": "817-923-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 ELMBROOK DR",
"address_2": "117",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474067",
"telephone_number": "817-834-8214",
"fax_number": "817-923-2913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO PAIN MANAGEMENT CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FORT WORTH PAIN MANAGEMENT CENTER LLC",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "817-834-8214",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "D6942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.