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ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT PA NPI 1215354972


NPI Information

NPI: 1215354972
Provider Name: ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 45D2083354

Address:
2220 CANTON ST
SUITE 211
DALLAS, TX
ZIP 75201
Phone: (214) 403-8402
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ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA is a pain medicine anesthesiology in Dallas, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. ISPINE SPORTS MEDICINE AND PAIN MANAGEMENT, PA NPI is 1215354972. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2220 CANTON ST
SUITE 211
DALLAS, TX
ZIP 75201-923
Phone: (214) 403-8402

The provider's authorized official is Reginald James Newsome .
The authorized official title is Ceo and has the following contact phone number (832) 969-2784.

The CLIA number assigned to this NPI record is 45D2083354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.


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
1207LP2900XAnesthesiologyPain MedicineM8869TEXASYes

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

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