Organization Active NPI

Rural Interventional Pain Providers PLLC

  • Interventional Pain Medicine Physician
  • Southlake, TX
National Provider Identifier
1649979774
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RURAL INTERVENTIONAL PAIN PROVIDERS PLLC
Practice address
431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Phone
(817) 518-1112
Fax
(817) 518-1113
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Chad Stephens, MD
Title
Owner
Phone
(817) 518-1112

Specialties & licenses 1

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

Addresses

Primary practice location

431 E State Highway 114 Ste 120
Southlake, TX 76092-4416

Mailing address

PO Box 650823 Dept 41928
Dallas, TX 75265-0823
Phone (817) 518-1112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1649979774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650823 DEPT 41928",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650823",
            "telephone_number": "817-518-1112",
            "fax_number": "817-518-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E STATE HIGHWAY 114 STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924416",
            "telephone_number": "817-518-1112",
            "fax_number": "817-518-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL INTERVENTIONAL PAIN PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-518-1112",
        "authorized_official_credential": "MD"
    },
    "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": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.