OrganizationActive
Wade Interventional Pain Center LLC
NPI 1609208065 · Pain Clinic/Center · Addison, TX
Provider details
- NPI number
- 1609208065
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Walls, Manager(479) 234-4740
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
17051 Dallas Parkway
Ste 100
Addison, TX 75001
Phone: (469) 916-0521
Fax: (972) 234-0212
Street-level locationGet directions
Mailing address
Po Box 674040
Dallas, TX 75267-4040
Registry dates
- Enumerated
- 2013-08-07
- Last updated
- 2013-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.