Dynamic Sports Medicine and Pain Solutions PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

Q0169 Issued in TX

Legal business name

DYNAMIC SPORTS MEDICINE AND PAIN SOLUTIONS PLLC

Practice address

7830 W Grand Pkwy S
Suite 150
Richmond, TX 77406-5816

Phone

(832) 302-6212

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Mical Samuelson Duvall, MD

Title

President

Phone

(210) 602-5578

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jason Robert Armstrong, D.P.M.

  • Podiatrist
  • Houston, TX
  • NPI 1053347849
  NPD

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1427419167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41922 N MILL DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541850",
            "telephone_number": "210-602-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 W GRAND PKWY S",
            "address_2": "SUITE 150",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065816",
            "telephone_number": "832-302-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SPORTS MEDICINE AND PAIN SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "MICAL",
        "authorized_official_middle_name": "SAMUELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-602-5578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "Q0169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669600324",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dutch-Will Assessment Group LLC
• Ebony Dycus, LMT
• Allison Claire Dyer
• Bethany C Dykes, MD
• Dynamic Health Care Services Inc.
• Dynasty Homecare & Referral Services
• Adam Scott Dziedzic, MA,
• Emily Easley, ST
• Agnes Maria Oliva East, RD/LD
• Elaijia Eaton, LCDC

• Pain Medicine Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.