Organization
FRISCO PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD JAVED TARIQ MD (OWNER)
(214) 705-7749
Entity
Organization
Contact information
Practice address
7589 PRESTON RD, SUITE 900, FRISCO, TX 75034-5667
(214) 705-7749
(214) 705-7729
Mailing address
7589 PRESTON RD, SUITE 900, FRISCO, TX 75034-5667
(214) 705-7749
(214) 705-7729
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
579608
TX
367500000X
Certified Registered Nurse Anesthetist
651757
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
698485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598725244
NPI
—
01
—
1851493423
NPI
—
01
—
1992985998
NPI
—
Enumeration date
10/28/2011
Last updated
10/28/2011
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