Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penn Interventional Pain Center, LLC

Organization Pain Clinic/Center · NPI 1124310073

Penn Interventional Pain Center, LLC is a Pain Clinic/Center in Fort Worth, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 Summit Ave Ste 400
Fort Worth, TX 76102-4413
Phone: (972) 234-4740
Fax: (817) 571-0897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1124310073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Grosbeck — Manager · (469) 362-6909
NPI enumeratedMay 11, 2011
Last updated in NPPESMay 11, 2011
Mailing addressPo Box 268934, Oklahoma City, OK 73126-8934

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