FOUNDATION PAIN AND SPINE PLLC NPI 1174151997

NPI Information

NPI: 1174151997
Provider Name: FOUNDATION PAIN AND SPINE PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 45D2191931

Address:
8390 LYNDON B JOHNSON FWY STE 500
DALLAS, TX
ZIP 75243
Phone: (469) 909-1312
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FOUNDATION PAIN AND SPINE PLLC is a pain clinic center in Dallas, TX. FOUNDATION PAIN AND SPINE PLLC NPI is 1174151997. The provider is registered as an organization entity type.

The provider's business location address is:

8390 LYNDON B JOHNSON FWY STE 500
DALLAS, TX
ZIP 75243-188
Phone: (469) 909-1312

The provider's authorized official is Michelle Marchese .
The authorized official title is Practice Manager and has the following contact phone number (214) 205-4995.

The CLIA number assigned to this NPI record is 45D2191931 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2020 and was last updated on 3/28/2020.

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	261QP3300X	Clinic/Center	Pain			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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