GRAYSON INTERVENTIONAL PAIN CENTER (NPI# 1689122103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689122103 |
| Entity Type | Organization |
| Organization Name | GRAYSON INTERVENTIONAL PAIN CENTER |
| Practice Address |
1600 W Northwest Hwy Grapevine TX 76051-8112 |
| Mailing Address |
Po Box 674057 Dallas TX 75267-4057 |
| Practice Telephone | 4699160521 |
| Practice Fax Number | 9722340212 |
| Mailing Telephone | 9729160521 |
| Mailing Fax Number | 9722340212 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | TRACY WALLS (PRESIDENT) |
| Authorized Official Telephone | 9722344740 |
| 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 |
1600 W NORTHWEST HWY |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-8112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407831100 | Andrea Wise Rodriguez | Physician Assistant | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2005-12-14 |
| 1831524727 | Dsc Dental Grapevine Pllc | Dentist | 1600 W Northwest Hwy, Suite #300, Grapevine, TX 76051-8112 | 2013-09-10 |
| 1215379698 | Grapevine Interventional Pain Center, LLC | Clinic/Center | 1600 W Northwest Hwy, Grapevine, TX 76051-8112 | 2013-07-25 |
| 1003196791 | Cypress Interventional Pain Center LLC | Clinic/Center | 1600 W Northwest Hwy, Ste 1000, Grapevine, TX 76051-8112 | 2011-08-25 |
| 1912195330 | Midcities Pain Center, LLC | Clinic/Center | 1600 W Northwest Hwy, Ste. 1000, Grapevine, TX 76051-8112 | 2007-10-10 |
| 1518040369 | Preferred Imaging of Grapevine/colleyville, Lp | Radiologic Technologist | 1600 W Northwest Hwy, Ste. 1000, Grapevine, TX 76051-8112 | 2006-10-23 |
| 1912089285 | Eric E Hopkins | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| 1356423453 | Vanita D Shori | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| 1346322625 | Andrew H Kilgus | Pediatrics | 1600 W Northwest Hwy, Ste 900, Grapevine, TX 76051-8112 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376770131 | Gayle Schotte | Clinic/Center | 1600 W Nw Hwy, Suite 1000, Grapevine, TX 76051-8112 | 2009-06-18 |
| 1215379698 | Grapevine Interventional Pain Center, LLC | Clinic/Center | 1600 W Northwest Hwy, Grapevine, TX 76051-8112 | 2013-07-25 |
| 1003196791 | Cypress Interventional Pain Center LLC | Clinic/Center | 1600 W Northwest Hwy, Ste 1000, Grapevine, TX 76051-8112 | 2011-08-25 |
| 1558505909 | Grapevine Pain Management, LLC | Clinic/Center | 2401 Ira E Woods Ave, Suite 700, Grapevine, TX 76051-3997 | 2009-04-29 |
| 1912195330 | Midcities Pain Center, LLC | Clinic/Center | 1600 W Northwest Hwy, Ste. 1000, Grapevine, TX 76051-8112 | 2007-10-10 |
| 1184786311 | Metropolitian Pain Center, LLC | Clinic/Center | 2401 Ira E Woods Ave, Ste 600, Grapevine, TX 76051-3997 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987576 | Greater Houston Pain & Injury, Inc | Clinic/Center | 4411 Bluebonnet Dr Ste 100, Stafford, TX 77477-2912 | 2020-09-16 |
| 1538706718 | Consultants In Pain Medicine, Pa | Clinic/Center | 332 W Sunset Rd Ste 3, San Antonio, TX 78209-1755 | 2019-12-05 |
| 1982249405 | Ikon Pain Management Consultants Pllc | Clinic/Center | 8300 Douglas Ave Ste 800, Dallas, TX 75225-5826 | 2019-11-07 |
| 1700443298 | Synapse Pain Management, Pllc | Clinic/Center | 6760 Pistoia Dr, Frisco, TX 75034-2381 | 2019-05-21 |
| 1306302062 | Quicksilver Billing | Clinic/Center | 14215 Marin Dr, Cypress, TX 77429-4962 | 2019-02-18 |
| 1518458215 | Centers for Pain Relief Pllc | Clinic/Center | 2416 W Holcombe Blvd Ste A, Houston, TX 77030-1902 | 2018-05-29 |
| 1942797527 | Mansfield Pain Services, LLC | Clinic/Center | 305 Regency Pkwy Ste 805, Mansfield, TX 76063-3794 | 2018-04-18 |
| 1427554880 | Pain Institute of Laredo | Clinic/Center | 5401 Mcpherson Rd Ste 9, Laredo, TX 78041 | 2018-04-04 |
| 1588165344 | Revolution Pain Management, Pllc | Clinic/Center | 1485 Fm 1960 Bypass Rd E Ste 360, Humble, TX 77338-3964 | 2018-02-26 |
| 1427562891 | Midcounty Pain Services, LLC | Clinic/Center | 2501 Jimmy Johnson Blvd Ste 201b, Port Arthur, TX 77640-2009 | 2017-11-21 |
| 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.