Organization Active NPI

Cedar Hill Interventional Pain Center LLC

  • Pain Clinic/Center
  • Cedar Hill, TX
National Provider Identifier
1649692310
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CEDAR HILL INTERVENTIONAL PAIN CENTER LLC
Practice address
318 W Belt Line Rd
Cedar Hill, TX 75104-1104
Phone
(972) 234-4740
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

318 W Belt Line Rd
Cedar Hill, TX 75104-1104

Mailing address

PO Box 674264
Dallas, TX 75267-4264
Phone (972) 479-1115

National Provider Directory

National Provider Directory

Locations

318 W Belt Line Rd
Cedar Hill, TX 75104
Phone (469) 575-5116

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1649692310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674264",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674264",
            "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": "318 W BELT LINE RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041104",
            "telephone_number": "972-234-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "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": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.