# CARDINAL INTERVENTIONAL PAIN CLINIC PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1184381196
- **Authorized official:** SUSAN SIMON (ACOUNT MANAGER)
- **Authorized official phone:** (214) 642-2943

## Contact information

- **Practice address:** 2717 SUMMERHILL RD, TEXARKANA, TX 75503-3957
- **Practice address phone:** (214) 642-2943
- **Practice address fax:** (877) 540-9887
- **Mailing address:** 6501 LAKEVIEW DR, TEXARKANA, TX 75503-1906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2021
- **Last updated:** 02/04/2022