# TEXAS SPINE & PAIN MD PLLC

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

## Provider details

- **NPI number:** 1699468546
- **Authorized official:** PRAVEEN NATAKAL PAKEERAPPA MD (CEO)
- **Authorized official phone:** (903) 401-5145

## Contact information

- **Practice address:** 1055 CLARKSVILLE ST STE 165, PARIS, TX 75460-0211
- **Practice address phone:** (903) 401-5145
- **Practice address fax:** (903) 401-5146
- **Mailing address:** PO BOX 429, BONHAM, TX 75418-0429
- **Mailing address phone:** (903) 401-5145
- **Mailing address fax:** (903) 401-5146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2023
- **Last updated:** 01/03/2024