# INTERVENTIONAL SPINE AND PAIN, LLP

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

## Provider details

- **NPI number:** 1376066126
- **Authorized official:** MARK LEDOUX MD (OWNER)
- **Authorized official phone:** (214) 888-3900

## Contact information

- **Practice address:** 17501 NORTH DALLAS PARKWAY, SUITE 300, ADDISON, TX 75001
- **Practice address phone:** (214) 888-3900
- **Practice address fax:** (214) 888-3901
- **Mailing address:** 17051 DALLAS PKWY STE 300, ADDISON, TX 75001-7105
- **Mailing address phone:** (214) 888-3900
- **Mailing address fax:** (214) 888-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2017
- **Last updated:** 06/07/2022