ASHLAND INTERVENTIONAL PAIN CENTER LLC
NPI 1174917108
Nurse Anesthetist, Certified Registered in Bedford, TX

Active since March 27, 2015
1305 AIRPORT FWY, SUITE 103, BEDFORD, TX 76021(817) 571-2607(817) 571-0897 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Anesthetist, Certified Registered

About ASHLAND INTERVENTIONAL PAIN CENTER LLC

This page provides the complete NPI Profile along with additional information for Ashland Interventional Pain Center Llc, a provider established in Bedford, Texas operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1174917108 assigned on March 2015. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tracy Walls (President)

NPI
1174917108 Verify this NPI
Provider Name
ASHLAND INTERVENTIONAL PAIN CENTER LLC
Entity Type
Organization
Location Address
1305 AIRPORT FWY SUITE 103 BEDFORD, TX 76021
Location Phone
(817) 571-2607
Location Fax
(817) 571-0897
Mailing Address
PO BOX 674149 DALLAS, TX 75267
Mailing Phone
(972) 479-1115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2015
Last Update Date
04-20-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY WALLS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(972) 234-4740

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
1305 AIRPORT FWY, STE 205
BEDFORD, TX 76021
Clinical Medical Laboratory
1305 AIRPORT FWY, STE 410
BEDFORD, TX 76021
Internal Medicine
1305 AIRPORT FWY, STE 220
BEDFORD, TX 76021
Family Medicine
1305 AIRPORT FWY, STE 220
BEDFORD, TX 76021
Internal Medicine
1305 AIRPORT FWY, STE 220
BEDFORD, TX 76021
Family Medicine
1305 AIRPORT FWY, STE 220
BEDFORD, TX 76021
Orthopaedic Surgery
1305 AIRPORT FWY, SUITE 101
BEDFORD, TX 76021
Physician Assistant
1305 AIRPORT FWY, SUITE 405
BEDFORD, TX 76021
Registered Nurse (Registered Nurse First Assistant)
1305 AIRPORT FWY, STE 121
BEDFORD, TX 76021
Durable Medical Equipment & Medical Supplies
1305 AIRPORT FWY, SUITE 410
BEDFORD, TX 76021
Internal Medicine
1305 AIRPORT FWY, STE 421
BEDFORD, TX 76021
Durable Medical Equipment & Medical Supplies
1305 AIRPORT FWY, SUITE 120
BEDFORD, TX 76021
Clinic/Center (Sleep Disorder Diagnostic)
1305 AIRPORT FWY, SUITE 120
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021
Clinic/Center (Pain)
1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174917108, enumerated as an "organization" on March 27, 2015.

The provider is located at 1305 AIRPORT FWY SUITE 103 BEDFORD, TX 76021 and the phone number is (817) 571-2607.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.