Dallas Parkway Pain Procedure Centers, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

DALLAS PARKWAY PAIN PROCEDURE CENTERS, LLC

Practice address

17110 Dallas Pkwy Ste 120
Dallas, TX 75248-1127

Phone

(972) 479-1115

Fax

(972) 346-8013

NPI assigned

Dec 18, 2008

Last updated

Dec 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ted Groesbeck

Title

Owner

Phone

(469) 682-6742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1740426857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269092",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269092",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481127",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS PARKWAY PAIN PROCEDURE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "GROESBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-682-6742"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Oxygen Corporation
• Dallas Pain and Anesthesia Associates, P.a.
• Dallas Pain and Spine Institute
• Dallas Pain and Wellness, P.a.
• Dallas Parkway Medical Clinic PA (Dallas Parkway Medical Clinic)
• Dallas Pathology Laboratories, LLC
• Dallas Pediatric Neurology Assoc
• Dallas Pediatric Neurosurgery Specialists, PLLC
• Dallas Pediatrics and Children's Healthcare, P.a.
• Dallas Physical Performance Center

• Pain Clinic/Center in Dallas, TX
• Providers in Dallas, 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 Dec 18, 2008; 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.