# FOUNDATION PAIN AND SPINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174151997
- **Authorized official:** JUSTIN THOMPSON (PRACTICE MANAGER)
- **Authorized official phone:** (817) 739-0433

## Contact information

- **Practice address:** 8390 LYNDON B JOHNSON FWY STE 500, DALLAS, TX 75243-1188
- **Practice address phone:** (469) 909-1312
- **Mailing address:** 8390 LYNDON B JOHNSON FWY STE 500, DALLAS, TX 75243-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2020
- **Last updated:** 01/02/2023