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PRESIDIO PAIN CENTER, LLC
NPI 1790089720
Clinic/Center - Pain in Fort Worth, TX

Active since January 05, 2011
1201 SUMMIT AVE, SUITE 400, FORT WORTH, TX 76102(972) 234-4740(972) 231-7095 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Presidio Pain Center, Llc NPPES

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

PRESIDIO PAIN CENTER, LLC (NPI 1790089720) is a healthcare organization registered as a pain in Fort Worth, Texas and active in the NPI registry since January 2011. The organization lists Ted Grosbeck, Manager, as its authorized official.

NPPES Registry Identity

NPI1790089720
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePRESIDIO PAIN CENTER, LLC
Location Address1201 SUMMIT AVE, SUITE 400Fort Worth, TX 76102-4413
Mailing AddressPo Box 702620Tulsa, OK 74170-2620 · (972) 234-4740 · Fax (972) 231-7095
Phone(972) 234-4740
Fax(972) 231-7095
Organization SubpartNo
Authorized OfficialTed GrosbeckManager · (469) 362-6909
Enumeration DateJanuary 5, 2011
✔ NPI 1790089720 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.

BRENDA K BYRD O.D.
Optometrist
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
CAROL S. WEBB CRNA
Registered Nurse
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
SHARON JEAN BALSLEY CRNA
Nurse Anesthetist, Certified Registered
1201 SUMMIT AVE
FORT WORTH, TX 76102
Tarrant County (817) 332-2020
SUMMIT AVENUE PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FORT WORTH, TX 76102
Tarrant County (972) 234-4740
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
MARSH INTERVENTIONAL PAIN CENTER, LLC
Clinic/Center (Pain)
1201 SUMMIT AVE, SUITE 400
FORT WORTH, TX 76102
Tarrant County (817) 334-0990
STONEBROOK 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 Presidio Pain Center, LLC's NPI number?

The NPI number for Presidio Pain Center, LLC is 1790089720. It was assigned to this organization in the NPPES registry on January 5, 2011.

Where is Presidio Pain Center, LLC located?

Presidio 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 Presidio 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 Presidio Pain Center, LLC was last updated on January 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.