PRESTON INSTITUTE OF PAIN MANAGEMENT (NPI# 1043513914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043513914 |
| Entity Type | Organization |
| Organization Name | PRESTON INSTITUTE OF PAIN MANAGEMENT |
| Practice Address |
12800 Preston Rd Ste 200 Dallas TX 75230-1369 |
| Practice Telephone | 9729919950 |
| Practice Fax Number | 9729914026 |
| Mailing Telephone | 9729919950 |
| Mailing Fax Number | 9729914026 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | DR. CHARLES EDWARD WILLIS (GEN PARTNER) |
| Authorized Official Telephone | 9729919950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
12800 PRESTON RD STE 200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467955716 | Angela Scott Mason | Counselor | 12800 Preston Rd Ste 200, Dallas, TX 75230-1369 | 2018-03-13 |
| 1144636531 | Colby Lovelace | Chiropractor | 12800 Preston Rd Ste 200, Dallas, TX 75230-1369 | 2014-07-07 |
| 1306252796 | Lovelace Chiropractic and Sports Rehab | Clinic/Center | 12800 Preston Rd Ste 200, Dallas, TX 75230-1369 | 2014-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249405 | Ikon Pain Management Consultants Pllc | Clinic/Center | 8300 Douglas Ave Ste 800, Dallas, TX 75225-5826 | 2019-11-07 |
| 1710373832 | Pain Services Group, LLC | Clinic/Center | 7515 Greenville Ave Ste 200, Dallas, TX 75231-3826 | 2015-04-15 |
| 1740426857 | Dallas Parkway Pain Procedure Centers, LLC | Clinic/Center | 17110 Dallas Pkwy Ste 120, Dallas, TX 75248-1127 | 2008-12-18 |
| 1750572988 | Duncanville Pain Partners, LLC | Clinic/Center | 7988 W Virginia Dr Ste 100, Dallas, TX 75237-3764 | 2007-08-05 |
| 1477615607 | Metro Ambulatory Procedure Center, Lp | Clinic/Center | 17110 Dallas Pkwy Ste 125, Dallas, TX 75248-1181 | 2006-12-14 |
| 1174151997 | Foundation Pain and Spine Pllc | Clinic/Center | 8390 Lyndon B Johnson Fwy Ste 500, Dallas, TX 75243-1188 | 2020-03-28 |
| 1356756878 | Meridian Elements Inc. | Clinic/Center | 10851 Ferguson Rd, Suitea, Dallas, TX 75228-2615 | 2014-06-23 |
| 1154747681 | Metro Anesthesia | Clinic/Center | 8204 Elmbrook Dr, 175, Dallas, TX 75247-4067 | 2014-03-07 |
| 1326312356 | Frankford Interventional Pain Center, LLC | Clinic/Center | 17110 Dallas Pkwy, Ste 125, Dallas, TX 75248-1167 | 2012-03-08 |
| 1770883589 | Accent Interventional Procedure Center, LLC | Clinic/Center | 17110 Dallas Pkwy, Ste 125, Dallas, TX 75248-1167 | 2010-10-26 |
| Find all providers in DALLAS | ||||
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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.