PRESIDIO PAIN CENTER, LLC – Pain Clinic/Center, NPI 1790089720

PRESIDIO PAIN CENTER, LLC is a healthcare provider. based in Tulsa, Oklahoma. specializing in Pain Clinic/Center. The NPI Number for PRESIDIO PAIN CENTER, LLC is 1790089720

Main info

Organization
Name
PRESIDIO PAIN CENTER, LLC
NPI
1790089720
Phone
(972) 234-4740
Address
PO BOX 702620
Authorized Official
TED GROSBECK MANAGER
Enumeration Date
5 January 2011
Last Update Date
5 January 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for PRESIDIO PAIN CENTER, LLC

  • PO BOX 702620

    TULSA, OK 741702620

    Phone: (972) 234-4740

    Fax: (972) 231-7095

    Type: Mailing

  • 1201 SUMMIT AVE

    SUITE 400

    FORT WORTH, TX 761024413

    Phone: (972) 234-4740

    Fax: (972) 231-7095

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74170)

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Reviews

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Frequently asked questions

What number should I use to identify PRESIDIO PAIN CENTER, LLC for billing?
Administrative and clinical systems typically use NPI 1790089720 for PRESIDIO PAIN CENTER, LLC.
Should I treat PRESIDIO PAIN CENTER, LLC as an active provider?
Patients and plans typically see PRESIDIO PAIN CENTER, LLC as active in the national extract.
Which specialty label fits PRESIDIO PAIN CENTER, LLC?
NPPES ties PRESIDIO PAIN CENTER, LLC to Pain Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to PRESIDIO PAIN CENTER, LLC?
The directory associates PRESIDIO PAIN CENTER, LLC with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
Who maintains PRESIDIO PAIN CENTER, LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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