Organization Active NPI

Vail Physician Services, PLLC

Doing business as Vail Physician Services

  • Interventional Pain Medicine Physician
  • Coppell, TX
National Provider Identifier
1578223673
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
VAIL PHYSICIAN SERVICES, PLLC
Doing business as
Vail Physician Services
Practice address
920 S Belt Line Rd Ste 250
Coppell, TX 75019-4884
Phone
(972) 476-1848
NPI assigned
Dec 30, 2021
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Asad Khan, COO
Title
Chief Operating Officer
Phone
(972) 476-1848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

920 S Belt Line Rd Ste 250
Coppell, TX 75019-4884

Mailing address

400 Stonebrook Pkwy Ste 1104-292
Frisco, TX 75036-1179
Phone (972) 476-1848

Other names 1

  • Vail Physician Services Doing business as

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140292
Allen, TX 75013

3004 Communications Pkwy
Ste 200292
Plano, TX 75093

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1578223673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STONEBROOK PKWY STE 1104-292",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361179",
            "telephone_number": "972-476-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S BELT LINE RD STE 250",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194884",
            "telephone_number": "972-476-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIL PHYSICIAN SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASAD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "972-476-1848",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vail Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vail Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.