Provider Demographics
NPI:1780155226
Name:PERIOPERATIVE PAIN SERVICES, PLLC
Entity type:Organization
Organization Name:PERIOPERATIVE PAIN SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SIMPKINS
Authorized Official - Suffix:II
Authorized Official - Credentials:CRNA
Authorized Official - Phone:972-453-1879
Mailing Address - Street 1:5150 WARREN PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7462
Mailing Address - Country:US
Mailing Address - Phone:972-453-1879
Mailing Address - Fax:
Practice Address - Street 1:5150 WARREN PKWY BLDG 8
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7462
Practice Address - Country:US
Practice Address - Phone:214-310-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty