RENDON INTERVENTIONAL PAIN CENTER LLC NPI 1740551241

NPI Information

NPI: 1740551241
Provider Name: RENDON INTERVENTIONAL PAIN CENTER LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1805 OWEN CT
SUITE 119
MANSFIELD, TX
ZIP 76063
Phone: (682) 518-7386
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RENDON INTERVENTIONAL PAIN CENTER LLC is a pain clinic center in Mansfield, TX. RENDON INTERVENTIONAL PAIN CENTER LLC NPI is 1740551241. The provider is registered as an organization entity type.

The provider's business location address is:

1805 OWEN CT
SUITE 119
MANSFIELD, TX
ZIP 76063-232
Phone: (682) 518-7386
Fax: (682) 518-0933

The provider's authorized official is Ted Grosbeck .
The authorized official title is Manager and has the following contact phone number (469) 362-6909.

The enumeration date for this NPI number is 1/16/2012 and was last updated on 1/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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