MEDICARE: INTERVENTIONAL PARTNERS LLC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1245866813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERVENTIONAL PARTNERS LLC

Provider Business Mailing Address
First Line	:	8135 FOREST LN # 515057
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2472
Country	:	US
Telephone Number	:	469-850-5760
Fax Number	:	469-716-4193

Provider Business Practice Location Address
First Line	:	18220 TOMBALL PKWY STE 220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4370
Country	:	US
Telephone Number	:	832-917-7792
Fax Number	:	832-912-7794

Authorized Official
Title or Position	:	OWNER/ CHIEF EXECUTIVE DIRECTOR
Name	:	JARYD STEIN
Credential	:	MD
Telephone Number	:	213-392-4976

Provider Enumeration Date	:	03/16/2020
Last Update Date	:	01/03/2023

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Directions to “INTERVENTIONAL PARTNERS LLC ” Practice Location

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