The Pain Management Center of Texas

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

J3712 Issued in TX

Legal business name

THE PAIN MANAGEMENT CENTER OF TEXAS

Practice address

3000 Alemeda St
Fort Worth, TX 76116-5952

Phone

(817) 560-2454

Fax

(817) 560-2450

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Theresa Henderson

Title

Office Manager

Phone

(903) 753-7333

Specialties & licenses 1

Addresses

Other names 1

• Daniel R Theesfeld Doing business as

Tax ID family

Daniel R Theesfeld2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Pain Management Center of Texas

  • Specialist
  • Fort Worth, TX
  • NPI 1083861306
  NPD tax ID

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1306135629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALEMEDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165952",
            "telephone_number": "817-560-2454",
            "fax_number": "817-560-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALEMEDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165952",
            "telephone_number": "817-560-2454",
            "fax_number": "817-560-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN MANAGEMENT CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-753-7333"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel R Theesfeld",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Main Pharmacy
• The Milk Mind LLC
• The Nest Counseling and Consulting PLLC
• The Oaks Life Center, PLLC
• The Pain Management Center of Texas
• The Parenting Center
• The Prescription Shoppe
• The Process Advisors
• The Rebrand Report, LLC
• The Salvation Army, a Georgia Corp. - Mabee Center

• Pain Medicine (Anesthesiology) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.