Texas Interventional Pain Care, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L5788 Issued in TX

Legal business name

TEXAS INTERVENTIONAL PAIN CARE, P.A.

Practice address

375 Municipal Dr
Suite 242
Richardson, TX 75080-3559

Phone

(972) 952-0290

Fax

(972) 952-0293

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn J Mearon

Title

Office Manager

Phone

(972) 952-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Texas Interventional Pain Care, P.a.

  • Interventional Pain Medicine Physician
  • Richardson, TX
  • NPI 1396929337

  O20040112000407

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leatha Evelyn Harrell, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Richardson, TX
  • NPI 1114059961
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1356526198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR",
            "address_2": "SUITE 242",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803559",
            "telephone_number": "972-952-0290",
            "fax_number": "972-952-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR",
            "address_2": "SUITE 242",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803559",
            "telephone_number": "972-952-0290",
            "fax_number": "972-952-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INTERVENTIONAL PAIN CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "MEARON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-952-0290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002KD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Dental Sleep Services PLLC
• Texas Em-1 Medical Services PA
• Texas Eye Surgeons PA
• Texas Foot and Ankle Consultants LLC
• Texas Health Urgent Care
• Texas Interventional Pain Care, P.a.
• Texas Newborn Services, Inc.
• Texas Physiatry Group PLLC
• Texas Radiology Associates LLP
• Texas Scientific Laboratory, LLC

• Specialist in Richardson, TX
• Providers in Richardson, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.