Stonebrook Interventional Pain Center LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

STONEBROOK INTERVENTIONAL PAIN CENTER LLC

Practice address

1201 Summit Ave
Suite 400
Ft Worth, TX 76102-4413

Phone

(817) 334-0990

Fax

(817) 571-0897

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Ted Grosbeck

Title

Manager

Phone

(469) 362-6909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1326384595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674315",
            "telephone_number": "971-479-1115",
            "fax_number": "972-346-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "address_2": "SUITE 400",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761024413",
            "telephone_number": "817-334-0990",
            "fax_number": "817-571-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBROOK INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "GROSBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vincent Stone, PA-C
• Natalie Ann Stone, APRN
• Randel Stone, APRN, FNP-C
• Shamyiah Stone
• William N Stone, LPC
• Stonegate Nursing Center LTD
• Stonegate SCC LLC
• Stephanie Stoner
• Carla Yvonne Storey, LCSW
• Joy Sunshine Storm, M.D.

• Pain Clinic/Center in Ft Worth, TX
• Providers in Ft Worth, 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 Dec 17, 2012; 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.