Organization Active NPI

Texas Pain Relief Group PLLC

  • Psychologist
  • Hurst, TX
National Provider Identifier
1407230337
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TEXAS PAIN RELIEF GROUP PLLC
Practice address
1717 Precinct Line Rd
Suite 200
Hurst, TX 76054-3169
Phone
(813) 549-2134
Fax
(813) 870-1383
NPI assigned
Jul 9, 2015
Organization subpart
Yes
Parent organization
TEXAS PAIN RELIEF GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
David Wood
Title
Manager
Phone
(813) 549-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1717 Precinct Line Rd
Suite 200
Hurst, TX 76054-3169

Mailing address

4730 N Habana Ave
Suite 204
Tampa, FL 33614-7163
Phone (813) 549-2134

Other names 1

  • Texas Health and Counseling Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texas Pain Relief Group PLL2 organizations share this tax ID, including this one
Part of
Texas Pain Relief Group PLL

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1407230337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-549-2134",
            "fax_number": "813-870-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 PRECINCT LINE RD",
            "address_2": "SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543169",
            "telephone_number": "813-549-2134",
            "fax_number": "813-870-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN RELIEF GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS PAIN RELIEF GROUP PLLC",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health and Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.