PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC (NPI# 1578184685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578184685 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC |
| Practice Address |
8404 Sterling St Ste B Irving TX 75063-2527 |
| Mailing Address |
1411 N Beckley Ave Ste 152 Dallas TX 75203-1586 |
| Practice Telephone | 2149487700 |
| Practice Fax Number | 2149487701 |
| Mailing Telephone | 2149487700 |
| Mailing Fax Number | 2149487701 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | TREVOR T KRAUS (OWNER/PARTNER) |
| Authorized Official Telephone | 2149487700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 45D2145472 | 01 | |
| CLIA WAIVED | 45D2016038 | 01 |
| Other Name | Type Code |
|---|---|
| Dallas Pain Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1902427107 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 10400 N Central Expy, Dallas, TX 75231-2297 | 2020-04-29 |
| 1356962468 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4090 Mapleshade Ln Ste 100, Plano, TX 75093-0025 | 2020-04-29 |
| 1164043279 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 7300 Eldorado Pkwy Ste 165, Mckinney, TX 75070-7894 | 2020-04-29 |
| 1679194872 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 2001 N Macarthur Blvd Ste 335, Irving, TX 75061-2298 | 2020-04-29 |
| 1811448715 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 7501 Lakeview Pkwy Ste 245, Rowlett, TX 75088-9326 | 2016-10-17 |
| 1568768356 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 1125 Raintree Cir Ste 100, Allen, TX 75013-5289 | 2011-01-27 |
| 1184943128 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 1411 N. Beckley Ave., Pav. IIi, Suite #152, Dallas, TX 75203 | 2010-05-28 |
| Street Address |
8404 STERLING ST STE B |
| City | IRVING |
| State | TX |
| Zip Code | 75063-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386118149 | Medstar Laboratory LLC | Clinical Medical Laboratory | 9901 Valley Ranch Pkwy E Ste 3015, Irving, TX 75063-7184 | 2019-01-15 |
| 1558869438 | Goto Lab Express Texas LLC | Clinical Medical Laboratory | 1300 W Walnut Hill Ln Ste 256, Irving, TX 75038-2914 | 2018-01-25 |
| 1033650866 | Firstox Laboratories, LLC | Clinical Medical Laboratory | 4850 Plaza Dr, Irving, TX 75063-2317 | 2017-03-13 |
| 1023472891 | Lakeside Clinical Laboratory LLC | Clinical Medical Laboratory | 2211 Century Center Blvd Ste 110, Irving, TX 75062-4960 | 2016-04-07 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1386023620 | Gibson Diagnostic Labs, LLC | Clinical Medical Laboratory | 813 N O Connor Rd, Irving, TX 75061-4510 | 2015-05-19 |
| 1265839963 | Quicklabs Usa LLC | Clinical Medical Laboratory | 611 N Macarthur Blvd Ste 115, Irving, TX 75061-7423 | 2014-11-24 |
| 1730586512 | Medlab Diagnostics Inc | Clinical Medical Laboratory | 616 N Macarthur Blvd, Irving, TX 75061-7424 | 2014-11-23 |
| 1780940270 | Usmd Diagnostic Services, LLC | Clinical Medical Laboratory | 6333 North State Highway 161, Suite 200, Irving, TX 75038-4049 | 2012-04-09 |
| 1306152723 | Nuepath 2, LLC | Clinical Medical Laboratory | 8340 Sterling St, Suite 2, Irving, TX 75063-2593 | 2010-08-23 |
| Find all providers in IRVING | ||||
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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.