Healthcare Provider Details

I. General information

NPI: 1962067066
Provider Name (Legal Business Name): INTERVENTIONAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 LAKEVIEW PKWY STE 300B
ROWLETT TX
75088-4362
US

IV. Provider business mailing address

8135 FOREST LN # 515057
DALLAS TX
75230-2472
US

V. Phone/Fax

Practice location:
  • Phone: 972-288-7441
  • Fax: 972-289-8025
Mailing address:
  • Phone: 469-850-5760
  • Fax: 469-716-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

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