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Contact Information

EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC
16633 DALLAS PKWY STE 150
ADDISON, TX75001-6812
 Phone: 972-380-0000
 Fax: 972-380-0030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC

NPI Number 1619566205
LBN Legal business name EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC
Authorized official JOHNNY EAST - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2021
Last updated 01/18/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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