Healthcare Provider Details

I. General information

NPI: 1790728921
Provider Name (Legal Business Name): INTEGRATED PAIN SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 S BENNETT ST
SOUTHERN PINES NC
28387-5919
US

IV. Provider business mailing address

695 S BENNETT ST
SOUTHERN PINES NC
28387-5919
US

V. Phone/Fax

Practice location:
  • Phone: 910-725-1708
  • Fax: 910-725-1718
Mailing address:
  • Phone: 910-725-1708
  • Fax: 910-725-1718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LOUIS TORRES
Title or Position: SOLE MEMBER
Credential: MD
Phone: 910-687-4888