Parker Road Interventional Pain Procedure Center, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PARKER ROAD INTERVENTIONAL PAIN PROCEDURE CENTER, LLC

Practice address

17051 Dallas Pkwy
Suite 100
Addison, TX 75001-7101

Phone

(469) 916-0521

Fax

(972) 234-0212

NPI assigned

Apr 21, 2010

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Walls

Title

Manager

Phone

(972) 234-4740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1427375047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268945",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268945",
            "telephone_number": "972-479-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY",
            "address_2": "SUITE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017101",
            "telephone_number": "469-916-0521",
            "fax_number": "972-234-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER ROAD INTERVENTIONAL PAIN PROCEDURE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-234-4740"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopartners Inc (Restore POC)
• Mary Ostteen
• Babitha Palathumthalackal, PHARMD
• Palladium Interventional Pain Center, LLC
• Andrew Eunkoo Park, M.D.
• Britany Parker, PT, DPT
• Parkhill Imaging LLC
• Thomas J Parks, MD
• Chelsei Lauren Parton, OTR/L
• Beena Patel, PHARM.D

• Pain Clinic/Center in Addison, TX
• Providers in Addison, 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 Oct 2, 2013; 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.