OrganizationActive
Presidio Pain Center, LLC
NPI 1790089720 · Pain Clinic/Center · Fort Worth, TX
Provider details
- NPI number
- 1790089720
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ted Grosbeck, Manager(469) 362-6909
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1201 Summit Ave
Suite 400
Fort Worth, TX 76102-4413
Phone: (972) 234-4740
Fax: (972) 231-7095
Street-level locationGet directions
Mailing address
Po Box 702620
Tulsa, OK 74170-2620
Registry dates
- Enumerated
- 2011-01-05
- Last updated
- 2011-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.