Collin County Pain Management, LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

COLLIN COUNTY PAIN MANAGEMENT, LLC

Practice address

17110 Dallas Pkwy Ste 125
Dallas, TX 75248-1181

Phone

(972) 479-1115

Fax

(972) 346-8013

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ted Groesbeck

Title

Owner

Phone

(469) 682-6742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1861645442",
    "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 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481181",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN COUNTY PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Collier, MD
• Katherine Collier, NP
• Kathryn Sullivan Collier
• Paul Alan Collier, RRT
• Collier'S Therapy, Coaching & Consulting GRP, LLC
• Collin County Pediatrics, P.a.
• Collin Hagood, LPC
• Collin House Call Physician LLC
• Mary L Collings, D.C.
• Lisa Marie Collingwood, PHD

• 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 Oct 28, 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.