Provider Demographics
NPI:1629874656
Name:SOUTHWEST PAIN MANAGEMENT
Entity type:Organization
Organization Name:SOUTHWEST PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GROYSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-600-6241
Mailing Address - Street 1:220 O'CONNOR RIDGE BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-6573
Mailing Address - Country:US
Mailing Address - Phone:214-560-2000
Mailing Address - Fax:214-560-2555
Practice Address - Street 1:6957 W PLANO PKWY STE 2100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1623
Practice Address - Country:US
Practice Address - Phone:469-600-6241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty