Organization
GRAPEVINE IMAGING & PAIN MANAGEMENT CENTER LLC
Active
Other names
Eclipse Imaging Pain Management Center-Grapevine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL S. MAYFIELD (CEO/MANAGING MEMBER)
(817) 479-0800
Entity
Organization
Contact information
Practice address
2401 IRA E WOODS, #600, GRAPEVINE, TX 76051-8631
(817) 488-9991
(817) 488-9992
Mailing address
2401 IRA E WOODS, #600, GRAPEVINE, TX 76051-8631
(817) 488-9991
(817) 488-9992
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R25579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119DC
BCBS
TX
05
—
303769901
—
TX
01
—
376985800
DOL
TX
01
—
9676331
CIGNA
TX
Enumeration date
08/11/2006
Last updated
05/13/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up