Provider Demographics
NPI:1902197247
Name:STS PAIN SOLUTIONS, LLC
Entity Type:Organization
Organization Name:STS PAIN SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-553-7811
Mailing Address - Street 1:PO BOX 800465
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75380-0465
Mailing Address - Country:US
Mailing Address - Phone:888-553-7811
Mailing Address - Fax:888-553-7811
Practice Address - Street 1:7501 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 245
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9322
Practice Address - Country:US
Practice Address - Phone:888-553-7811
Practice Address - Fax:888-553-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty