Organization
FOUNDATION PAIN AND SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN THOMPSON (PRACTICE MANAGER)
(817) 739-0433
Entity
Organization
Contact information
Practice address
8390 LYNDON B JOHNSON FWY STE 500, DALLAS, TX 75243-1188
(469) 909-1312
Mailing address
8390 LYNDON B JOHNSON FWY STE 500, DALLAS, TX 75243-1188
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
03/28/2020
Last updated
01/02/2023
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