# OMNI SPINE PAIN MANAGEMENT, PLLC

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

## Provider details

- **NPI number:** 1861931560
- **Authorized official:** ANDREW MORCHOWER (PHYSICIAN)
- **Authorized official phone:** (214) 705-1200

## Contact information

- **Practice address:** 4500 HILLCREST RD, SUITE 185, FRISCO, TX 75035-5418
- **Practice address phone:** (214) 705-1200
- **Mailing address:** 4500 HILLCREST RD, SUITE 185, FRISCO, TX 75035-5418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | N4020 | TX | — |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017