INTEGRATIVE PAIN INSTITUTE PLLC NPI 1376097493

NPI Information

NPI: 1376097493
Provider Name: INTEGRATIVE PAIN INSTITUTE PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 45D2147390

Address:
15110 DALLAS PKWY STE 102
DALLAS, TX
ZIP 75248
Phone: (972) 349-1333
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INTEGRATIVE PAIN INSTITUTE PLLC is a general practice in Dallas, TX. INTEGRATIVE PAIN INSTITUTE PLLC NPI is 1376097493. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15110 DALLAS PKWY STE 102
DALLAS, TX
ZIP 75248-601
Phone: (972) 349-1333
Fax: (972) 792-0290

The provider's authorized official is Shawna Boudreaux .
The authorized official title is Vp Operations and has the following contact phone number (469) 422-0641.

The CLIA number assigned to this NPI record is 45D2147390 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2016 and was last updated on 2/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	Q9070	TEXAS	No
2	207Q00000X	Family Medicine		Q9070	TEXAS	No
3	208D00000X	General Practice		Q9070	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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