Grayson Interventional Pain Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GRAYSON INTERVENTIONAL PAIN CENTER

Practice address

1600 W Northwest Hwy
Grapevine, TX 76051-8112

Phone

(469) 916-0521

Fax

(972) 234-0212

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Tracy Walls

Title

President

Phone

(972) 234-4740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1689122103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674057",
            "telephone_number": "972-916-0521",
            "fax_number": "972-234-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518112",
            "telephone_number": "469-916-0521",
            "fax_number": "972-234-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON INTERVENTIONAL PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "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": []
}

• Grapevine Rheumatology Clinic,LLC
• Grapevine Smiles PLLC
• Grapevine Total Wellness PLLC
• Grapevine Valley Hope
• Nathan Lynn Graves, M.D.
• Greater Southwest Medical Associates
• Greater Southwest Medical Associates
• Greater Southwest Medical Associates PA
• Shara Kay Green, LPC
• Sharon Lee Greene, LCSW

• Pain Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.