# OMNI SPINE PAIN MANAGEMENT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omni Spine Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720441538
- **Authorized official:** MS. WHITNEY RAE HUGHES (BILLING DEPARTMENT)
- **Authorized official phone:** (972) 645-1260

## Contact information

- **Practice address:** 6243 RETAIL RD STE 500, DALLAS, TX 75231-7867
- **Practice address phone:** (214) 705-1200
- **Practice address fax:** (214) 705-1201
- **Mailing address:** 8380 WARREN PKWY STE 100, FRISCO, TX 75034-4199
- **Mailing address phone:** (214) 705-1200
- **Mailing address fax:** (214) 705-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | N1784 | TX | Yes |

## Other

- **Enumeration date:** 03/30/2016
- **Last updated:** 07/22/2021