Active NPI
Intire Health Physician Group
- Interventional Pain Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1467037465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- INTIRE HEALTH PHYSICIAN GROUP
- Practice address
- 517 N Carrier Pkwy
Grand Prairie, TX 75050-5484 - Phone
- (469) 251-1734
- NPI assigned
- Mar 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel Del Bosque
- Title
- Owner
- Phone
- (469) 251-1734
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
517 N Carrier Pkwy
Grand Prairie, TX 75050-5484
Mailing address
517 N Carrier Pkwy
Grand Prairie, TX 75050-5484
Phone (469) 251-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
517 N Carrier Pkwy
Ste A
Grand Prairie, TX 75050
Phone (972) 264-0533
815 Greenview Dr
Grand Prairie, TX 75050
Phone (469) 251-1734
517 N Carrier Pkwy
Grand Prairie, TX 75050
Phone (214) 460-0644
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Midland, TX
- NPI 1316412042
-
- Addiction Medicine (Preventive Medicine) Physician
- Cartersville, GA
- NPI 1922493196
TX
-
- Massage Therapist
- Grand Prairie, TX
- NPI 1356218994
-
- Licensed Vocational Nurse
- Grand Prairie, TX
- NPI 1912860040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615420800000",
"number": "1467037465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505484",
"telephone_number": "469-251-1734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750505484",
"telephone_number": "469-251-1734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTIRE HEALTH PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A",
"authorized_official_last_name": "DEL BOSQUE",
"authorized_official_first_name": "MIGUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-251-1734"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
- Inspired by You Counseling and Lifestyle Therapy PLLC
- Institute for Health Evaluation and Research Unlimited LLC
- Rina Inta, RD,LD
- Integra Specialty Group, PA
- Intertwined Senior Care, LLC
- Intire Tox Screen
- Immaculata Eme Inyang, FNP
- Iocck Healthcare Services, LLC
- Oluwakemi Mausi Ipinlaye
- Irenee a. Lebuabanga
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.