Titan Interventional Pain Center LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

TITAN INTERVENTIONAL PAIN CENTER LLC

Practice address

17051 Dallas Pkwy
Ste 100
Addison, TX 75001-7101

Phone

(469) 916-0521

Fax

(972) 234-0212

NPI assigned

Aug 29, 2013

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": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1497189112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 674365",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674365",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY",
            "address_2": "STE 100",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017101",
            "telephone_number": "469-916-0521",
            "fax_number": "972-234-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Centers of South Carolina, P.a.
• Therapy Centers of the Southwest I, P.a., P.C. (Or)
• Timothy M Theriault, PT
• Stacey Merin Thomas
• Stephanie Thomas, MS, CCC-SLP
• Dana Breann Tolleson
• Quynh A Ton-That, MD
• Town of Addison Emergency Physicians PLLC
• Alexander Hung Tran, M.D.
• Robert Charles Treadwell, D.O.

• 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 Aug 29, 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.