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Contact Information

ADDISON INTERVENTIONAL PAIN MANAGEMENT
16633 DALLAS PKWY # 125
ADDISON, TX75001-6816
 Phone: 872-380-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

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

NPI Profile & details for ADDISON INTERVENTIONAL PAIN MANAGEMENT

NPI Number 1932613031
LBN Legal business name ADDISON INTERVENTIONAL PAIN MANAGEMENT
Authorized official JOHN EAST - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2017
Last updated 11/28/2017 - About 9 years ago
Identifiers
TX License # K7724
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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