# SOUTHWESTERN PAIN INSTITUTE, PA

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

## Provider details

- **NPI number:** 1386786564
- **Authorized official:** DR. DANIEL SHALEV M.D. (PAIN MANAGEMENT)
- **Authorized official phone:** (972) 980-4400

## Contact information

- **Practice address:** 5744 LYNDON B JOHNSON FWY, SUITE 175, DALLAS, TX 75240-6322
- **Practice address phone:** (972) 980-4400
- **Practice address fax:** (972) 980-4100
- **Mailing address:** PO BOX 803311, DALLAS, TX 75380-3311
- **Mailing address phone:** (972) 980-4400
- **Mailing address fax:** (972) 980-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 05/19/2009