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
- 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
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 DirectoryNPI 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.