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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1831854983
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	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE A212
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2535
Country	:	US
Telephone Number	:	972-525-8445
Fax Number	:	972-566-7479

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

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	01/03/2023

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Directions to “INTERVENTIONAL PARTNERS LLC ” Practice Location

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