Healthcare Provider Details
I. General information
NPI: 1295390581
Provider Name (Legal Business Name): INTERVENTIONAL PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2019
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 W FM 544 STE 230
WYLIE TX
75098-4973
US
IV. Provider business mailing address
8135 FOREST LN # 515057
DALLAS TX
75230-2472
US
V. Phone/Fax
- Phone: 972-288-9034
- Fax: 972-289-8025
- Phone: 469-850-5760
- Fax: 469-716-4193
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable 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: 469-850-5760