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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

NPI # 1720441538
LBN Legal business name OMNI SPINE PAIN MANAGEMENT, PLLC
Authorized official WHITNEY HUGHES - (BILLING DEPARTMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2016
Last updated 07/22/2021 - About 5 years ago
Identifiers
TX License # N1784
TX Other N1784 STATE LICENSE NUMBER
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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