Rendon Interventional Pain Center LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

RENDON INTERVENTIONAL PAIN CENTER LLC

Practice address

1805 Owen CT
Suite 119
Mansfield, TX 76063-4232

Phone

(682) 518-7386

Fax

(682) 518-0933

NPI assigned

Jan 16, 2012

Organization subpart

No

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

Authorized official

Name

Ted Grosbeck

Title

Manager

Phone

(469) 362-6909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1740551241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674207",
            "telephone_number": "972-479-1115",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 OWEN CT",
            "address_2": "SUITE 119",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634232",
            "telephone_number": "682-518-7386",
            "fax_number": "682-518-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENDON INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "GROSBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Mansfield, TX
• Providers in Mansfield, 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 Jan 16, 2012; 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.