NPI age
15 years
Enumerated 2010-12-10
● Active Type 2 · Organization
Southlake Interventional Pain Center, Llc
Southlake Interventional Pain Center, Llc is 1 of 195 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grosbeck
Manager
Last NPPES update
2010-12-10
Source: monthly bulk 2026-05
How this organization compares
Across 195 active clinic/center providers in Texas.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1305 Airport Fwy, Suite 103
Bedford, TX 760216605
Mailing address
Po Box 26485
Oklahoma City, OK 731260485
Authorized official
Ted Grosbeck
Manager
📞 4693626909
Individual providers at this organization
19 individual providers on file at this primary practice address.
- Eric Coligado, M.D. Physical Medicine & Rehabilitation NPI 1821081811
- Michael Delaughter, M.D., PH.D. Internal Medicine NPI 1528242336
- Amanda Dutro, APRN, FNP-C Nurse Practitioner NPI 1033636477
- Russell Fisher, DO Internal Medicine NPI 1740282268
- Scott Greenberg, MD Internal Medicine NPI 1083632293
- Munawar Haider, MD Family Medicine NPI 1124018155
- Scott Hall, M.D. Psychiatry & Neurology NPI 1396748075
- Susan Imke, F.N.P. Nurse Practitioner NPI 1043444961
- Laura Jones, D.O. Family Medicine NPI 1801158134
- David Kaner, DO Internal Medicine NPI 1114916152
- Sharhonda Martin Family Medicine NPI 1922173525
- Theodore Nophsker, D.O Internal Medicine NPI 1932130986
- Uzoamaka Obinabo, M.D Family Medicine NPI 1992917413
- Julie Pearson, PA Physician Assistant NPI 1902950975
- Esther Pimplekar Nurse Practitioner NPI 1366673147
- Carol Saunders, RN BSN RNFA Registered Nurse NPI 1386869394
- Frank Swords, D.O. Orthopaedic Surgery NPI 1841365111
- Rajesh Vrushab, M.D. Internal Medicine NPI 1366405268
- Kaisar Yammine, PA C Family Medicine NPI 1669461604
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 19 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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