# ADVANCED SPINE AND PAIN 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:** 1659722882
- **Authorized official:** HOLLIE SEAGO (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (214) 378-4656

## Contact information

- **Practice address:** 22255 GREENFIELD RD, SUITE 500, SOUTHFIELD, MI 48075-3710
- **Practice address phone:** (214) 378-4656
- **Practice address fax:** (866) 375-8173
- **Mailing address:** PO BOX 674074, DALLAS, TX 75267-4074
- **Mailing address phone:** (214) 378-4656
- **Mailing address fax:** (866) 375-8173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 4301051183 | MI | Yes |

## Other

- **Enumeration date:** 06/29/2016
- **Last updated:** 06/29/2016