PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC (NPI# 1679194872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679194872 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT PHYSICIANS OF DALLAS, PLLC |
| Practice Address |
2001 N Macarthur Blvd Ste 335 Irving TX 75061-2298 |
| 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 | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dallas Pain Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184685 | Pain Management Physicians of Dallas, Pllc | Clinical Medical Laboratory | 8404 Sterling St Ste B, Irving, TX 75063-2527 | 2020-04-29 |
| 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 |
| 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 |
2001 N MACARTHUR BLVD STE 335 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659387413 | Hanan Fahmy | Specialist | 2001 N Macarthur Blvd Ste 335, Irving, TX 75061-2298 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1902370463 | Solar Health, P.a. | Pain Medicine | 6750 N Macarthur Blvd Ste 151, Irving, TX 75039-2832 | 2019-01-17 |
| 1235611666 | Quantum Interventional Sports and Spine Medicine | Pain Medicine | 1451 W Airport Fwy Ste 1, Irving, TX 75062-6223 | 2018-09-01 |
| 1780917179 | Interventional Pain Solutions, Pa. | Pain Medicine | 825 West Royal Lane, #230, Irving, TX 75039 | 2009-09-16 |
| 1639373129 | Whitney Leigh Chouteau | Pain Medicine | 6750 N Macarthur Blvd, Suite 255, Irving, TX 75039-2875 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| 1013575653 | University Pain Pllc | Pain Medicine | 4 Stillforest St, Houston, TX 77024-7518 | 2019-05-29 |
| Find all providers with the same taxonomy | ||||
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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.