# ADVANCED PAIN & REHABILITATION ASSOCIATION PLLC

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

## Provider details

- **NPI number:** 1215404637
- **Authorized official:** DR. AHMED MAHMOUD MD (OWNER)
- **Authorized official phone:** (508) 414-1464

## Contact information

- **Practice address:** 613 S HIGHWAY 78 STE 200, WYLIE, TX 75098-5525
- **Practice address phone:** (469) 562-4232
- **Practice address fax:** (972) 201-9656
- **Mailing address:** 613 S HIGHWAY 78 STE 200, WYLIE, TX 75098-5525
- **Mailing address phone:** (469) 562-4232
- **Mailing address fax:** (972) 201-9656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2018
- **Last updated:** 04/24/2024