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Organization
360 PAIN AND SPINE PLLC
Active
Organization
360 PAIN AND SPINE PLLC
Active
Other names
Renner Pain And Spine
Organization subpart
No
Provider details
NPI number
Authorized official
OBAID MALIK MD (DIRECTOR)
(469) 589-1871
Entity
Organization
Contact information
Practice address
3009 E RENNER RD STE 100, RICHARDSON, TX 75082-3572
(469) 589-1871
(469) 589-1872
Mailing address
3009 E RENNER RD STE 100, RICHARDSON, TX 75082-3572
(469) 589-1871
(469) 589-1872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/21/2020
Last updated
08/18/2022
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