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Organization
PREMIER PAIN CENTERS PA
Active
Organization
PREMIER PAIN CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO K ALI MD (OWNER)
(469) 562-4188
Entity
Organization
Contact information
Practice address
2071 N COLLINS BLVD STE 100, RICHARDSON, TX 75080-2696
(469) 562-4188
Mailing address
2071 N COLLINS BLVD STE 100, RICHARDSON, TX 75080-2696
(469) 575-6438
(817) 977-9370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/09/2019
Last updated
02/09/2024
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