# NORTH DALLAS PAIN AND WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dallas Pain and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952773954
- **Authorized official:** DANIEL M SOTO (MEMBER MANAGER/PRESIDENT)
- **Authorized official phone:** (972) 392-4476

## Contact information

- **Practice address:** 15110 DALLAS PKWY STE 102, DALLAS, TX 75248-4601
- **Practice address phone:** (972) 392-4476
- **Mailing address:** 15110 DALLAS PKWY STE 102, DALLAS, TX 75248-4601
- **Mailing address phone:** (972) 392-4476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 01/29/2019