Healthcare Provider Details

I. General information

NPI: 1790316297
Provider Name (Legal Business Name): INTERVENTIONAL PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 LBJ FWY STE 320
DALLAS TX
75243-4546
US

IV. Provider business mailing address

8135 FOREST LN # 515057
DALLAS TX
75230-2472
US

V. Phone/Fax

Practice location:
  • Phone: 214-369-3969
  • Fax: 214-369-6259
Mailing address:
  • Phone: 469-850-5760
  • Fax: 469-716-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JARYD STEIN
Title or Position: OWNER/ CHIEF EXECUTIVE DIRECTOR
Credential: MD
Phone: 213-392-4976