Summit Avenue Pain Center, Llc

LBN: Summit Avenue Pain Center, Llc
Summit Avenue Pain Center, Llc is an health care organization with primary practice located at 1201 Summit Ave Suite 400, Fort Worth TX 76102-4413. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Summit Avenue Pain Center, Llc can be contacted via phone (972) 234-4740, or through Grosbeck, Ted via phone (469) 362-6909.

Contact Information

Primary practice address
1201 Summit Ave Suite 400 Fort Worth TX 76102-4413
Phone: (972) 234-4740
Fax: (972) 231-7095
Website:
Map and Directions
Authorized official contact:
Name: Grosbeck, Ted
Phone: (469) 362-6909

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1295045854
LBN Legal business name Summit Avenue Pain Center, Llc
DBA Doing business as
Authorized official Grosbeck, Ted
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2010
Last updated Oct 18th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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