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HENDERSON INTERVENTIONAL PAIN CENTER, LLC
NPI 1184961583
Clinic/Center - Pain in Ft Worth, TX

Active since January 07, 2013
1201 SUMMIT AVE, SUITE 400, FT WORTH, TX 76102(817) 334-0990(817) 571-0897 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henderson Interventional Pain Center, Llc NPPES

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

HENDERSON INTERVENTIONAL PAIN CENTER, LLC (NPI 1184961583) is a healthcare organization registered as a pain in Ft Worth, Texas and active in the NPI registry since January 2013. The organization lists Tracy Walls, President, as its authorized official.

NPPES Registry Identity

NPI1184961583
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameHENDERSON INTERVENTIONAL PAIN CENTER, LLC
Location Address1201 SUMMIT AVE, SUITE 400Ft Worth, TX 76102-4413
Mailing AddressPo Box 674001Dallas, TX 75267-4001 · (972) 479-1115 · Fax (972) 346-8015
Phone(817) 334-0990
Fax(817) 571-0897
Organization SubpartNo
Authorized OfficialTracy WallsPresident · (972) 234-4740
Enumeration DateJanuary 7, 2013
✔ NPI 1184961583 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, Ft 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
PENN INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FORT WORTH, TX 76102
Tarrant County (972) 234-4740
ROSEDALE INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FT WORTH, TX 76102
Tarrant County (972) 234-4740
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 Henderson Interventional Pain Center, LLC's NPI number?

The NPI number for Henderson Interventional Pain Center, LLC is 1184961583. It was assigned to this organization in the NPPES registry on January 7, 2013.

Where is Henderson Interventional Pain Center, LLC located?

Henderson Interventional Pain Center, LLC is located at 1201 Summit Ave Suite 400, Ft Worth, TX 76102. The listed phone number is (817) 334-0990.

What is Henderson 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 Henderson Interventional Pain Center, LLC was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.