MEDICARE: INTERVENTIONAL PARTNERS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1104567189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERVENTIONAL PARTNERS PLLC

Provider Business Mailing Address
First Line	:	8135 FOREST LN # 515057
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2472
Country	:	US
Telephone Number	:	866-552-4866
Fax Number	:	469-716-4193

Provider Business Practice Location Address
First Line	:	4421 LONG PRAIRIE RD STE 200
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1752
Country	:	US
Telephone Number	:	866-552-4866
Fax Number	:	866-946-4085

Authorized Official
Title or Position	:	OWNER/ CHIEF EXECUTIVE DIRECTOR
Name	:	JARYD STEIN
Credential	:	MD
Telephone Number	:	866-552-4866

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	01/05/2026

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