LAKE ARLINGTON CENTER FOR PAIN MANAGEMENT (NPI# 1023234887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023234887 |
| Entity Type | Organization |
| Organization Name | LAKE ARLINGTON CENTER FOR PAIN MANAGEMENT |
| Other Organization Name | NORTH TEXAS PAIN RECOVERY CENTER |
| Practice Address |
6702 W Poly Webb Rd Arlington TX 76016-3615 |
| Practice Telephone | 8174780095 |
| Practice Fax Number | 8174787628 |
| Mailing Telephone | 8174780095 |
| Mailing Fax Number | 8174787628 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH N WALKER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8174780095 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Texas Pain Recovery Center | Doing Business As Name - Organization |
| Street Address |
6702 W POLY WEBB RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76016-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023164050 | Dana L Noble | Physical Therapist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-01-25 |
| 1316594435 | Jon Walker | Physical Therapist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2019-08-22 |
| 1063776433 | Vicki R. Perry | Psychologist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2012-06-29 |
| 1215117015 | Roger Thomas Mcmahon | Social Worker | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-11-08 |
| 1487844379 | Kenneth N Walker | Psychologist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-07-27 |
| 1053516989 | Juan Cisneros | Physical Therapist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-06-20 |
| 1497965933 | Marilyn H Stinson | Counselor | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-05-23 |
| 1558589903 | Lake Arlington Holding Company | Clinic/Center | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-04-23 |
| 1750415907 | James A Mallard | Physical Therapist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-03-16 |
| 1447381629 | Michael R Walker | Psychologist | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655646 | Kristin Allison Healer | Counselor | 5614 Arbor Valley Drive, Arlington, TX 76016 | 2020-10-01 |
| 1720564040 | Malesco LLC | Durable Medical Equipment & Medical Supplies | 2805 W. Arkansas Ln #300, Arlington, TX 76016 | 2018-07-19 |
| 1174034623 | Stat Trauma & Surgical Services, Pllc | Surgery | 6 Garden Ln, Arlington, TX 76016 | 2017-10-23 |
| 1689197626 | Ortho Pain Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2805 W Arkansas Ln Ste 300, Arlington, TX 76016 | 2017-07-21 |
| 1710382924 | Christopher Matthew Lemoine | Specialist/Technologist | 4501 W. Pleasant Ridge, Martin High School, Arlington, TX 76016 | 2014-10-30 |
| 1073936993 | Dariush Alirezaieyan | Specialist/Technologist, Other | 6601 Johns Crt, Arlington, TX 76016 | 2014-01-29 |
| 1063768380 | Melissa Kathleen Zawisza | Social Worker | 6311 Millwood Ct., Arlington, TX 76016 | 2012-07-24 |
| 1023377421 | Walter Ernest Williamson Jr. | Surgery | 4806 Wooded Acres Drive, Arlington, TX 76016 | 2012-05-07 |
| 1043585615 | Jack Henry Arlington, LLC | Alzheimer Center (Dementia Center) | 2300 Little Rd, Arlington, TX 76016 | 2012-03-15 |
| 1568608420 | Keorric Lamont Holiday | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3705 Fort Hunt Drive, Arlington, TX 76016 | 2008-12-26 |
| Find all providers in zip 76016 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1558589903 | Lake Arlington Holding Company | Clinic/Center | 6702 W Poly Webb Rd, Arlington, TX 76016-3615 | 2007-04-23 |
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| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
| 1790165009 | Genesis Prostep LLC | Clinic/Center | 450 E Loop 281 Ste B1, Longview, TX 75605-7969 | 2015-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.