Organization Active NPI

Metro Pain Management Center

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1295055515
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D6942 Issued in TX
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.