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EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC NPI 1619566205


NPI Information

NPI: 1619566205
Provider Name: EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
16633 DALLAS PKWY STE 150
ADDISON, TX
ZIP 75001
Phone: (972) 380-0000
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EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC is an interventional pain medicine pain medicine in Addison, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC NPI is 1619566205. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16633 DALLAS PKWY STE 150
ADDISON, TX
ZIP 75001-812
Phone: (972) 380-0000
Fax: (972) 380-0030

The provider's authorized official is Johnny W East .
The authorized official title is Owner and has the following contact phone number (214) 505-0833.

The enumeration date for this NPI number is 1/18/2021 and was last updated on 1/18/2021.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineNo
2208VP0000XPain MedicinePain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes

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: 5/5/2024

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