Organization
RURAL INTERVENTIONAL PAIN PROVIDERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD STEPHENS MD (OWNER)
(817) 518-1112
Entity
Organization
Contact information
Practice address
431 E STATE HIGHWAY 114 STE 120, SOUTHLAKE, TX 76092-4416
(817) 518-1112
(817) 518-1113
Mailing address
PO BOX 650823 DEPT 41928, DALLAS, TX 75265-0823
(817) 518-1112
(817) 518-1113
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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