Omni Spine Pain Management, Pllc

NPI 1174903975 - Pain Medicine - 208VP0014X

NPI Details
NPI 1174903975
Enumeration Date 06/05/2015
Last Updated 09/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ANDREW HENRY ANDREW
Position OWNER
Phone (214) 705-1200
Fax (214) 705-1201
Practice Location
4500 HILLCREST RD
185
FRISCO TX, 75035-5418, US
Phone (214) 705-1200
Fax (214) 705-1201
Business Location
4760 PRESTON RD
#244-261
FRISCO TX, 75034-8548, US
Phone (214) 705-1200
Fax
Toxanomy
Taxonomy Code 208VP0014X
License State Texas
License Number N1784
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According to our database, Omni Spine Pain Management, Pllc NPI is 1174903975, taxonomy code is 208VP0014X and license number is N1784, license state is located at Texas. Omni Spine Pain Management, Pllc physically located at 4500 Hillcrest Rd, Frisco TX, 75035-5418. NPI Number 1033115704 has the healthcare provider type.

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1174903975 NPI number is provided on an as is basis without warranty of any kind. 1174903975 is maintained by the National Plan & Provider Enumeration System. The contents of Omni Spine Pain Management, Pllc are for informational purposes only.