Active NPI
Interventional Pain Solutions, PA.
- Interventional Pain Medicine Physician
- Irving, TX
National Provider Identifier
1780917179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- M6482
- Legal business name
- INTERVENTIONAL PAIN SOLUTIONS, PA.
- Practice address
- 825 West Royal Lane
#230
Irving, TX 75039 - Phone
- (972) 956-5541
- Fax
- (972) 956-5504
- NPI assigned
- Sep 16, 2009
- 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
- Ashley Nichole Mawby
- Title
- Practice Manager
- Phone
- (972) 956-5541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | M6482 | TX | Primary |
Addresses
Primary practice location
825 West Royal Lane
#230
Irving, TX 75039
Mailing address
825 West Royal Lane
#230
Irving, TX 75039
Phone (972) 956-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6617390001 | Other | TX | PTAN FOR DME |
National Provider Directory
National Provider DirectoryLocations
3611 Morriss Rd
Flower Mound, TX 75028
Phone (214) 620-7444
5450 Clearfork Main St
Ste 230
Fort Worth, TX 76109
Phone (817) 641-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354579200000",
"number": "1780917179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 WEST ROYAL LANE",
"address_2": "#230",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "972-956-5541",
"fax_number": "972-956-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 WEST ROYAL LANE",
"address_2": "#230",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "972-956-5541",
"fax_number": "972-956-5504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL PAIN SOLUTIONS, PA.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2012-12-04",
"status": "A",
"authorized_official_last_name": "MAWBY",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "NICHOLE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "972-956-5541"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "M6482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN FOR DME",
"identifier": "6617390001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.