Organization
TEXAS INTERVENTIONAL PAIN CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF BASHIR KHAN MD (OWNER/CEO)
(972) 952-0290
Entity
Organization
Contact information
Practice address
2201 N CENTRAL EXPY, SUITE 171, RICHARDSON, TX 75080-2754
(972) 952-0290
(972) 952-0293
Mailing address
PO BOX 678054, DALLAS, TX 75267-8054
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L5788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002KD00
BCBS
TX
Enumeration date
12/27/2007
Last updated
01/27/2021
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