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TARPON PA NPI 1285028142


NPI Information

NPI: 1285028142
Provider Name: TARPON PA
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
17051 DALLAS PKWY
SUITE 320
ADDISON, TX
ZIP 75001
Phone: (972) 596-1059
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TARPON PA is a pain medicine physical medicine rehabilitation in Addison, TX. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. TARPON PA NPI is 1285028142. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17051 DALLAS PKWY
SUITE 320
ADDISON, TX
ZIP 75001-109
Phone: (972) 596-1059
Fax: (972) 612-5410

The provider's authorized official is Meriwether Lewis Frazier .
The authorized official title is Owner and has the following contact phone number (972) 596-1059.

The enumeration date for this NPI number is 3/27/2015 and was last updated on 3/27/2015.


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
1207LP2900XAnesthesiologyPain MedicineJ9037TEXASNo
2207X00000XOrthopaedic SurgeryJ9037TEXASNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineJ9037TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1330923MEDICARE PINTEXAS

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

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