Pain Free Texas 823, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN FREE TEXAS 823, LLC

Practice address

4213 Claremont Dr
Grand Prairie, TX 75052-1303

Phone

(469) 755-6101

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Tarra Mathews

Title

Owner

Phone

(469) 755-6101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1801402672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 CLAREMONT DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521303",
            "telephone_number": "469-755-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 CLAREMONT DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521303",
            "telephone_number": "469-755-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN FREE TEXAS 823, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TARRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-755-6101"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akinloye Olusola Oyerinde, DNP
• Oriyomi Oluwasola Oyetade, RN
• Lauren Ozuah
• P4X Inc
• Rini Pachikara
• Palmbridge Healthcare Advocates
• Pancho Independent Pharmacy, Inc.
• Dylan Jacob Papali
• Connie Frances Paredes
• Cameron Parikh, PT, DPT

• Pain Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.