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OMNI SPINE PAIN MANAGEMENT PLLC NPI 1720441538


NPI Information

NPI: 1720441538
Provider Name: OMNI SPINE PAIN MANAGEMENT, PLLC

Doing Business As: OMNI SPINE PAIN MANAGEMENT

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 45D2104448

Address:
6243 RETAIL RD STE 500
DALLAS, TX
ZIP 75231
Phone: (214) 705-1200
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OMNI SPINE PAIN MANAGEMENT, PLLC is a pain medicine physical medicine rehabilitation in Dallas, TX. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. OMNI SPINE PAIN MANAGEMENT, PLLC NPI is 1720441538. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Omni Spine Pain Management.

The provider's business location address is:

6243 RETAIL RD STE 500
DALLAS, TX
ZIP 75231-867
Phone: (214) 705-1200
Fax: (214) 705-1201

The provider's authorized official is Whitney Rae Hughes .
The authorized official title is Billing Department and has the following contact phone number (972) 645-1260.

The CLIA number assigned to this NPI record is 45D2104448 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 7/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineN1784TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1N1784OTHERTEXASSTATE LICENSE NUMBER

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: 4/28/2024

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