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NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC NPI 1144645995


NPI Information

NPI: 1144645995
Provider Name: NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 45D2114515

Address:
431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 518-1112
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NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC is an interventional pain medicine pain medicine in Southlake, TX. The provider is 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. NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC NPI is 1144645995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

431 E STATE HIGHWAY 114 STE 120
SOUTHLAKE, TX
ZIP 76092-416
Phone: (817) 518-1112
Fax: (817) 518-1113

The provider's authorized official is Carolyn Tripp .
The authorized official title is Practice Manager and has the following contact phone number (817) 518-1112.

The CLIA number assigned to this NPI record is 45D2114515 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2014 and was last updated on 8/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

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: 4/28/2024

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