OrganizationActive
Alliance Interventional Pain Center
NPI 1578979753 · Certified Registered Nurse Anesthetist · Bedford, TX
Provider details
- NPI number
- 1578979753
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tracy Walls, President(972) 788-7500
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1305 Airport Fwy Ste 103
Bedford, TX 76021-6603
Phone: (972) 234-4740
Fax: (972) 231-7095
Street-level locationGet directions
Mailing address
Po Box 674367
Dallas, TX 75267-4367
Registry dates
- Enumerated
- 2014-07-08
- Last updated
- 2016-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.