Active NPI
Rural Interventional Pain Providers PLLC
- Interventional Pain Medicine Physician
- Southlake, TX
National Provider Identifier
1649979774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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
- Last updated
- Feb 27, 2023
- 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
- Chad Stephens, MD
- Title
- Owner
- Phone
- (817) 518-1112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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 DirectoryPractitioners & 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.
-
- Interventional Pain Medicine Physician
- Southlake, TX
- NPI 1659372290
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.