# GREATER DALLAS PAIN INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DFW INTERVENTIONAL PAIN INSTITUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043702111
- **Authorized official:** MS. DIANA M HILL (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (972) 816-0421

## Contact information

- **Practice address:** 7300 ELDORADO PKWY STE 255, MCKINNEY, TX 75070
- **Practice address phone:** (972) 816-0421
- **Mailing address:** 5544 BIG RIVER DR, THE COLONY, TX 75056-3778
- **Mailing address phone:** (972) 816-0421
- **Mailing address fax:** (972) 370-2609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | P9087 | TX | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | P9087 | TX | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | P9087 | TX | — |

## Other

- **Enumeration date:** 06/04/2018
- **Last updated:** 06/04/2018