Active NPI
Pain Specialists of Texas, LP
- Pain Clinic/Center
- Mansfield, TX
National Provider Identifier
1548285000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- L5075,K3744
- Legal business name
- PAIN SPECIALISTS OF TEXAS, LP
- Practice address
- 1759 Broad Park Circle Street South
Suite 101
Mansfield, TX 75052-3073 - Phone
- (682) 518-0682
- Fax
- (682) 518-1334
- NPI assigned
- Jul 13, 2006
- Last updated
- Apr 26, 2011
- 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
- Lynne George
- Title
- Business Manager
- Phone
- (972) 606-8980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | L5075,K3744 | TX | Primary |
Addresses
Primary practice location
1759 Broad Park Circle Street South
Suite 101
Mansfield, TX 75052-3073
Mailing address
1759 Broad Park Circle Street South
Suite 101
Mansfield, TX 76063
Phone (682) 518-0682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093NJ | Other | TX | BCBS GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
4927 Lake Ridge Pkwy
Ste 170
Grand Prairie, TX 75052
Phone (817) 466-8651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1164468930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303776000000",
"number": "1548285000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 BROAD PARK CIRCLE STREET SOUTH",
"address_2": "SUITE 101",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "682-518-0682",
"fax_number": "682-518-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 BROAD PARK CIRCLE STREET SOUTH",
"address_2": "SUITE 101",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "750523073",
"telephone_number": "682-518-0682",
"fax_number": "682-518-1334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN SPECIALISTS OF TEXAS, LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2011-04-26",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "LYNNE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "972-606-8980"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "TX",
"license": "L5075,K3744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0093NJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.