Midcities Pain Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIDCITIES PAIN CENTER, LLC

Practice address

1600 W Northwest Hwy
Ste. 1000
Grapevine, TX 76051-8112

Phone

(817) 488-9991

NPI assigned

Oct 10, 2007

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

Vice President

Phone

(469) 682-6742

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1912195330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269083",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269083",
            "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": "1600 W NORTHWEST HWY",
            "address_2": "STE. 1000",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518112",
            "telephone_number": "817-488-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCITIES PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "GROESBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "469-682-6742"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metroplex Vascular Specialists, PLLC
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• Bishoy Michaels, D.O
• Mid Cities Health LLC
• Jennifer Mietus, P.T.
• Anne Bottimore Miller, PH.D.
• Jason Darrell Miller, D.O.
• Zaira Miller
• Mind Above Matter LLC

• Ambulatory Surgical Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.