Fort Worth Pain Management Center LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

FORT WORTH PAIN MANAGEMENT CENTER LLC

Practice address

3345 Winthrop Ave
Fort Worth, TX 76116-5604

Phone

(817) 731-2300

NPI assigned

May 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Leslie Hill

Title

Administrator

Phone

(817) 731-2300

Specialties & licenses 1

Addresses

Tax ID family

Metro Anesthesia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metro Anesthesia

  • Pain Clinic/Center
  • Dallas, TX
  • NPI 1154747681
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Metro Pain Management Center

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1295055515
  NPPES parent name

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962624791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 WINTHROP AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165604",
            "telephone_number": "817-731-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 WINTHROP AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165604",
            "telephone_number": "817-731-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH PAIN MANAGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-731-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fort Worth Osteopathc Hospital, Inc. (Osteopathic Medical Center of Texas)
• Fort Worth Pediatric Dentistry
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• Fort Worth Pediatrics
• Fort Worth Pediatrics
• Fort Worth Pediatrics

• Magnetic Resonance Imaging (MRI) Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.