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PENN INTERVENTIONAL PAIN CENTER, LLC
NPI 1124310073
Clinic/Center - Pain in Fort Worth, TX

Active since May 11, 2011
1201 SUMMIT AVE, SUITE 400, FORT WORTH, TX 76102(972) 234-4740(817) 571-0897 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penn Interventional Pain Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN INTERVENTIONAL PAIN CENTER, LLC (NPI 1124310073) is a healthcare organization registered as a pain in Fort Worth, Texas and active in the NPI registry since May 2011. The organization lists Ted Grosbeck, Manager, as its authorized official.

NPPES Registry Identity

NPI1124310073
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePENN INTERVENTIONAL PAIN CENTER, LLC
Location Address1201 SUMMIT AVE, SUITE 400Fort Worth, TX 76102-4413
Mailing AddressPo Box 268934Oklahoma City, OK 73126-8934 · (972) 234-4740 · Fax (817) 571-0897
Phone(972) 234-4740
Fax(817) 571-0897
Organization SubpartNo
Authorized OfficialTed GrosbeckManager · (469) 362-6909
Enumeration DateMay 11, 2011
✔ NPI 1124310073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
1201 SUMMIT AVE, Fort Worth, TX 76102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL EDWARD BRUHL M.D.
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
GEORGE DAVID HENDRICKS JR. M.D.
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
HENDERSON OPTICAL, LLC
Technician/Technologist (Optician)
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 336-3653
DWAYNE LEE ROBERTS M.D.
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
ROSEDALE INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Tarrant County (972) 234-4740
HENDERSON INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Tarrant County (817) 334-0990
DR. KATIE NICOLE FINNERTY STARKS M.D., M.S.
Ophthalmology
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
FW INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Tarrant County (817) 334-0990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn Interventional Pain Center, LLC's NPI number?

The NPI number for Penn Interventional Pain Center, LLC is 1124310073. It was assigned to this organization in the NPPES registry on May 11, 2011.

Where is Penn Interventional Pain Center, LLC located?

Penn Interventional Pain Center, LLC is located at 1201 Summit Ave Suite 400, Fort Worth, TX 76102. The listed phone number is (972) 234-4740.

What is Penn Interventional Pain Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Penn Interventional Pain Center, LLC was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.