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Contact Information

OMNI SPINE PAIN MANAGEMENT, PLLC
6243 RETAIL RD STE 500
DALLAS, TX75231-7867
 Phone: 214-705-1200
 Fax: 214-705-1201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for OMNI SPINE PAIN MANAGEMENT PLLC · (Female)

NPI # 1720441538
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2016
Last updated 07/22/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # N1784
  • TX Other N1784 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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