MEDICARE: METROPLEX PAIN CONSULTANTS, 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DD1259	OTHER		MEDICARE RR GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8H1510	OTHER	TX	BCBS GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497706188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPLEX PAIN CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 122089
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76121-2089
Country	:	US
Telephone Number	:	214-526-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 TURTLE CREEK BLVD
Second Line	:	SUITE 1101
City	:	DALLAS
State	:	TX
Zip	:	75219-5405
Country	:	US
Telephone Number	:	214-526-1133
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN L CASEY
Credential	:	DO
Telephone Number	:	214-526-1133

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	03/18/2013

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Directions to “METROPLEX PAIN CONSULTANTS, LLC ” Practice Location

Language	Start Address	Practice Location

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